A Chinese-American infant is seen in a well-baby clinic The ...

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A Chinese-American infant is seen in a well-baby clinic
 
  The parent reports that the baby is irritable and not eating well. The nurse notices several skin abrasions on the thighs and upper arms. What is the nurse's most appropriate initial intervention?
  a. Ask if the parent has used coining.
  b. Report the parent for suspected child abuse.
  c. Assess whether or not the parent desires to harm the child.
  d. Ask if the parent has taken the child to an acupuncturist.

Question 2

Complete this goal statement for a newly admitted patient in the orientation stage. By the end of the orientation stage of the therapeutic relationship, the patient will demonstrate
 
  a. greater independence.
  b. increased self-responsibility.
  c. trust and rapport with two staff members.
  d. ability to problem-solve one issue.

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Answer to Question 1

A
Recognition of the characteristic marks of coining or skin scraping can keep the nurse from making a culturally insensitive judgment that child abuse is occurring. Coining is used by Asian families to restore equilibrium for babies and small children. The other options would be inappropriate or ineffective.

Answer to Question 2

C
Establishing trust is the primary task of the orientation stage of the nursepatient relationship. The other options are too ambitious for this early stage.