A Caucasian nurse is caring for an African American client who ...

[tnt_battle]

A Caucasian nurse is caring for an African American client who has a history of myocardial infarction and is receiving atorvastatin (Lipitor).
 
  The nurse assesses the client's diet to be very high in fat. Which teaching plan would be most effective at improving the client's diet and possibly reducing the need for additional medications?
  1. Plan to ask an African American nurse to speak to the client about low-fat diets.
  2. Discuss the client's diet with whoever prepares meals for the family.
  3. Give the client a printout about low-fat diets specific to African Americans.
  4. Ask the health care provider for a consult by dietary services so a dietician can teach the client about low-fat diets.

Question 2

The nurse is caring for an Asian American client diagnosed with terminal cancer. Which factor should the nurse consider to achieve adequate pain control for the client?
 
  1. All ethnic groups respond to medications in the same manner.
  2. The only variation in drug metabolism occurs among African Americans.
  3. Asians respond differently to antidepressants only.
  4. Opioids are metabolized differently in individuals of Asian and Native American descent.

[lkoler]

Answer to Question 1

Correct Answer: 2
Rationale 1: This is racist and implies that a Caucasian nurse cannot understand the dietary needs of an African American client.
Rationale 2: Every culture has culture-specific diets; the nurse must include the person in the family who prepares meals if a different diet is to be successful.
Rationale 3: Providing printouts can be helpful, but the nurse must work more closely with the client to make adjustments in the diet.
Rationale 4: At this point, a consult by dietary services is premature.
Global Rationale: Every culture has culture-specific diets; the nurse must include the person in the family who prepares meals if a different diet is to be successful. Asking an African-American nurse to speak to the client implies that a Caucasian nurse cannot understand the dietary needs of an African American client. Providing printouts can be helpful, but the nurse must work more closely with the client to make adjustments in the diet. At this point, a consult by dietary services is premature.

Answer to Question 2

Correct Answer: 4
Rationale 1: Research demonstrates a biologic basis for variations or differences in metabolism response to agents among various ethnic groups.
Rationale 2: Drugs are metabolized differently by various ethnic groups.
Rationale 3: Asians respond differently to antidepressants, antidysrhythmics, and opioids.
Rationale 4: Opioids are also metabolized differently by clients of Asian descent. The nurse must understand how the drug is metabolized to ensure that the correct dose is being given.
Global Rationale: Opioids are also metabolized differently by clients of Asian descent. The nurse must understand how the drug is metabolized to ensure that the correct dose is being given. Research demonstrates a biologic basis for variations or differences in metabolism response to agents among various ethnic groups. Drugs are metabolized differently by various ethnic groups. Asians respond differently to antidepressants, antidysrhythmics, and opioids.

[tnt_battle]

TY

[lkoler]

You're welcome