A 19-year-old Native American client is admitted with a diagnosis ...

[clippers!]

A 19-year-old Native American client is admitted with a diagnosis of major depression with suicidal ideation. What assessment is made?
 
  1. The client is at high risk for suicide.
  2. The client will benefit from a talking circle.
  3. The client will need a single room.
  4. The client will need a medicine man.

Question 2

A client states that she is unhappy and miserable in her marriage and has been for several years. Which of the following responses indicates the nurse is tuning in to the process of the client's interaction rather than the content?
 
  1. Do you have any children from this marriage?
  2. How long have you been married?
  3. It sounds like you have been miserable for quite some time.
  4. Has your husband ever cheated on you?

[tranoy]

Answer to Question 1

1
Rationale: Native American youth have an increased risk for suicide when compared to other cultural groups. There is nothing to suggest that the client will need a single room. Assuming that the client will need a medicine man or benefit from a talking circle relies on stereotyped generalizations about Native American clients.

Answer to Question 2

3
Rationale: Tuning in to the process involves paying attention to verbal and non-verbal cues to identify and respond to client themes. Acknowledging the client's misery is one way to respond to client themes. Asking related questions about the marriage such as duration of the marriage, number of children, or possible infidelity are all examples of responding to the content of the interaction. The answers to these questions are not as important in process as encouraging the client to explore her feelings in this relationship.

[clippers!]

Thanks for the timely response, appreciate it

[Chelseyj.hasty]

Gracias!