The nurse has just taken a job in a hospital that cares for an ...

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The nurse has just taken a job in a hospital that cares for an ethnically diverse population and is concerned about being culturally sensitive. How should the nurse plan to manage caring for patients in pain?
 
  1. Treat all patients alike.
  2. Listen carefully as the patient's comments about pain are translated.
  3. Show respect for the patient's preferences even if they are very different from the nurse's.
  4. Ask questions about the patient's beliefs and customs regarding pain management.
  5. Watch how other nurses provide care to their patients.

Question 2

Which statement is accurate concerning the use of aspirin (ASA) to treat pain?
 
  1. High doses are necessary (1 gram) to achieve anticoagulant effects.
  2. Enteric-coated capsules are available to reduce GI side effects.
  3. Increase consumption of herbs such as garlic and ginger to potentiate the anti-inflammatory effects.
  4. In low doses (325 mg), it significantly reduces inflammation.

[tdewitt]

Answer to Question 1

Correct Answer: 2,3,4
Rationale 1: Not all patients respond identically to interventions.
Rationale 2: Even if the nurse has to use the services of a translator, careful listening is an important step in providing culturally sensitive care.
Rationale 3: Showing respect is important in providing culturally sensitive care in all areas, including pain management.
Rationale 4: The nurse cannot practice what the nurse does not know. Asking questions is the method used to gain information to facilitate sensitive care.
Rationale 5: Other nurses may not be providing the care needed for this nurse's patients.

Answer to Question 2

Correct Answer: 2
Rationale: Aspirin can cause bleeding in low doses. Enteric-coated capsules can help prevent bleeding, and avoiding certain herbs such as ginger and garlic should be advised. The anti-inflammatory effects of aspirin occur in high doses.