The patient is from an Arab culture and is in labor and delivery. ...

[jerry coleman]

The patient is from an Arab culture and is in labor and delivery. Her husband insists he must stay with her, and will not allow her to receive any analgesia during the experience. What is the best action by the nurse?
 
  1. Inform the husband that it is his wife's choice whether or not to receive analgesia.
  2. Inform the husband that he must sign a release of responsibility to avoid future litigation against the hospital.
  3. Allow the request, but inform the husband that the physician will make the final decision about analgesia.
  4. Allow this request, and be available in the event the request changes.

Question 2

The adolescent Hispanic male has been diagnosed with attention-deficit hyperactivity disorder (ADHD), and is taking methylphenidate (Ritalin).
 
  Even though the drug helps with focus and grades, the adolescent will not go to the school office at noon for his medication. Which statement best describes the result of the nurse's evaluation?
  1. The adolescent has developed alternative coping mechanisms to increase his focus during classes.
  2. The adolescent is fearful that this drug may be a gateway drug and he will abuse other substances.
  3. The adolescent really does not need an additional dose of methylphenidate (Ritalin) at school.
  4. The adolescent is embarrassed about having to take medicine at school; it is a social stigma.

[Smiles0805]

Answer to Question 1

Correct Answer: 4
Rationale: Nurses must allow and support cultural differences. The husband's decisions must be respected as long as patient safety is not involved, and it is not involved in this situation. With some cultures, the husband makes the choices, not the wife or the physician. When cultural differences are allowed and supported, patients are not as likely to become involved in litigation.

Answer to Question 2

Correct Answer: 4
Rationale: Some patients believe that having to take drugs in school will cause them to be viewed as weak, unhealthy, or dependent. Patients can also perceive this as a social stigma. Methylphenidate (Ritalin) is a short-acting drug and doses must be administered about 4 hours apart, so the patient must receive a dose during school hours. Attention-deficit hyperactivity disorder is a brain-based disorder, and the primary treatment is medication; alternative coping mechanisms will not usually help to increase focus during classes. Appropriate treatment of attention-deficit hyperactivity disorder will result in less addiction to mood-altering substances, not more addiction.

[jerry coleman]

Both answers were spot on, thank you once again

[Smiles0805]

Great! Please up vote