Answer to Question 1
Ans: C
Cultural brokering is the act of bridging, linking, or mediating messages, instructions, and belief systems between groups of people of differing cultural systems to reduce conflict or produce change. In this instance the nurse intended to produce a change in the quality of care provided to the client. Milieu therapy provides a stable and coherent social organization to facilitate an individual's treatment. Conflict resolution involves helping clients resolve disagreements or disputes with family, friends, or other clients. Structured interaction, a milieu concept, is a purposeful interaction that allows clients to interact with others in a useful way.
Answer to Question 2
Ans: B
An appropriate outcome statement for the client is that the client reports, within 3 days, of feeling rested upon awakening in the morning. The outcome is measurable and has a specified time frame for achievement. Requesting sleeping medication indicates that the relaxation techniques have not been helpful. Discussing feelings is part of the assessment data and would reflect a nursing diagnosis related to anxiety or ineffective coping. Sleeping for short intervals indicates some progression toward the goal but does not indicate effectiveness.
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
The nurse applies a pulse oximeter sensor on the client’s finger.
The medical assistant handles an emergency.
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