Author Question: A patient has a diagnosis of pneumonia. Which entry should the nurse chart to help with financial ... (Read 59 times)

D2AR0N · **on:** Jul 22, 2018

A patient has a diagnosis of pneumonia. Which entry should the nurse chart to help with financial reimbursement?

a. Used incentive spirometer to encourage coughing and deep breathing. Lung congested upon auscultation in lower lobes bilaterally. Pulse ox 86. Oxygen per nasal cannula applied at 2 L/min per standing order.
b. Cooperative, patient coughed and deep breathed using a pillow as a splint. Stated, felt better. Finally, patient had no complaints.
c. Breathing without difficulty. Sitting up in bed watching TV. Had a good day.
d. Status unchanged. Remains stable with no abnormal findings. Checked every 2 hours.

Question 2

The nurse recognizes the terminology that applies to culture and ethnicity and its correct application. Which of the following would be true for a client who goes through the process of assimilation?

a. The client will coexist with people of other cultures in society and maintain his or her own cultural differences.
b. The client will gradually adopt the attitudes and customs of the mainstream cul-ture.
c. The client will socialize within his or her primary cultural group.
d. The client will treat people unfairly based on group membership.

durant1234 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Accurate documentation of supplies and equipment used assists in accurate and timely reimbursement. Your documentation clarifies the type of treatment a patient receives and supports reimbursement to the health care agency. None of the other options had equipment or supplies listed. Avoid using generalized, empty phrases such as status unchanged or had a good day. Do not enter personal opinionsstating that the patient is cooperative is a personal opinion and should be avoided. Finally, patient had no complaints is a critical comment about the patient and if charted can be used as evidence of nonprofessional behavior or poor quality of care.

Answer to Question 2

B
Assimilation occurs when a minority group gradually adopts the attitudes and customs of the mainstream culture.
Multiculturalism, regarded as a fundamental characteristic of Canadian society, involves many cultures coexisting in society and maintaining their cultural differences.
Socialization into one's primary culture is known as enculturation.
Discrimination is the act of treating people unfairly based on group membership.