An elderly Native American client is recovering from an ...

[jenna1]

An elderly Native American client is recovering from an automobile accident that killed his spouse. The client has resisted attempts to discuss feelings about the loss. What should the nurse do?
 
  1. Call the hospital chaplain to visit the client.
  2. Notify Social Services.
  3. Notify the physician.
  4. Realize that the Native American prefers to grieve in private.

Question 2

The nurse is caring for a dying client who is receiving as much pain medication as possible and continues to experience severe pain. The client begs the nurse to let death come. Which action should the nurse take next?
 
  1. Turn off all fluids and let the client die.
  2. Give the client an extra dose of pain medication to cause respiratory depression.
  3. Request a psychiatric consult.
  4. Check for an advanced directive on the client's chart.

[Joc]

Answer to Question 1

Answer: 4

1. The culturally aware nurse offers to let the client talk, and if refused, does not call the hospital chaplain.
2. The nurse would not call Social Services unless it is apparent that the client is a danger to self or others.
3. Unless the client is in danger, the nurse does not need to notify the physician.
4. Native Americans see grief as private, and will use the support of fellow tribe members.

Answer to Question 2

Answer: 4

1. The nurse would be charged with malpractice for making the decision to stop nutrition.
2. An extra dose of medication could bring charges of murder on the nurse.
3. It would not be necessary to call the psychiatrist without checking to see if the client had a living will or advanced directive.
4. Checking the chart for an advanced directive gives the nurse information about the client's wishes and persons to be contacted to help with decision making.