A migrant worker client is brought to the emergency department ...

[bucstennis@aim.com]

A migrant worker client is brought to the emergency department for an injury, and it soon becomes evident that the client cannot speak English. A nurse on duty offers to find an interpreter so the client can communicate with the medical staff.
 
  The nurse's offer is an example of which type of nursing intervention?
 
  A) Milieu therapy
  B) Conflict resolution
  C) Cultural brokering
  D) Structured interaction

Question 2

Based on assessment data, a nurse formulates the nursing diagnosis for a client as sleep pattern disturbance. After educating the client on how to relax before bedtime, the nurse determines that the education was effective based on which outcome?
 
  A) The client discusses feelings about not being able to fall asleep
  B) Within 3 days, the client reports feeling rested upon awakening in the morning
  C) The client requests sleeping medication each night before bedtime
  D) The client is able to sleep for short intervals throughout the night

[gstein359]

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.

[bucstennis@aim.com]

TYSM

[FergA]

Excellent