Author Question: Mrs C brings her elderly Chinese grandmother to the health clinic. When Grandmother C finds out that ... (Read 146 times)

fbq8i · **on:** Jul 11, 2018

Mrs C brings her elderly Chinese grandmother to the health clinic. When Grandmother C finds out that all the clinic physicians on duty are males, she appears embarrassed and becomes quiet and withdrawn.

All the office staff were schooled in traditional Western medicine. Of the following suggestions, which best describes what the staff can do to put Grandmother C more at ease about receiving health care? A) Have the physician use his senses rather than machinery or invasive procedures to assess Grandmother C's medical problem
B) Show Grandmother C a picture of the human body and have her point to the area of her problem
C) Observe Grandmother C more closely and ask specific questions
D) Tell Grandmother C that being seen for treatment by a physician of either gender will put her yin and yang back in balance

Question 2

A patient fell 2 days ago; he has a compound fracture of his left tibia. The physician performed an open reduction with internal fixation (ORIF) to treat the fracture. An important nursing assessment for him would include

a. hyperactive bowel sounds.
b. elevated temperature and presence of erythema at incision site.
c. ecchymosis and edema at incision site.
d. complaints of activity intolerance.

nanny · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

C
Feedback:
Chinese women may be embarrassed to receive health care from a man. Nurses should observe more closely and ask specific questions to ensure that the quiet nature of the patient is not misinterpreted to imply that no problems exist. It would be disingenuous to tell her that receiving care would right her yin and yang, and close observation and questioning would be preferable to simply asking her to point to the problematic area on a picture.

Answer to Question 2

B
Collection of objective data includes careful inspection of any wounds. The drainage is assessed for color, amount, and presence of odor. Vital signs are assessed for signs of infection (temperature elevation, tachycardia, and tachypnea).