Author Question: Patient X is a 64-year-old male cardiac patient in the telemetry unit post-CABG. He is very ... (Read 76 times)

danielfitts88 · **on:** Jul 8, 2018

Patient X is a 64-year-old male cardiac patient in the telemetry unit post-CABG. He is very demanding and expects his needs to be met immediately if not sooner. He refuses to have any female staff members care for him.

It is the end of shift and he appears to be stable in normal sinus rhythm. He has removed his telemetry electrodes, is sitting up on the side of the bed, has thrown an empty tissue box across the room, and seems to be trying to get out of bed and walk. He is now coughing loudly and is demanding his pain medication in a loud booming voice that carries across the unit. The type of care that he requires now is: a. direct patient care c. team work
b. indirect patient care d. transcultural care

Question 2

Poole, Davidhizar, and Giger (1995) noted several cultural phenomena to be considered when working with culturally diverse staff. They are:

a. communication, space, social organization, time, environmental control, biological variations, cultural expectations, and traditional barriers
b. space, social organization, biological variations, communication, environmental factors, and cultural norms
c. biological variations, traditional barriers, time, environmental control, space, communication, and social organization
d. social organization, time, space, environmental control, biological variations, and communication

wuly · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

A
This patient, who is a post-operative cardiac patient, appears to be stable, but is agitated. He needs direct patient care from a nurse to assess his current state regarding agitation, to replace his electrodes, and to assist in easing his fears and need for control (demands). While team work would be great in a situation such as this, it is not essential until the cause for his agitation has been assessed and determined, unless he is a very large man and additional assistance is required to help get him back into bed. Indirect care, such as charting the situation, would also be beneficial, but is not the most urgent need for this patient.

Answer to Question 2

D
Six cultural phenomena suggested by Poole, Davidhizar, and Giger (1995) that should be considered when delegating tasks to culturally diverse nursing staff are: 1) social organization, 2) time, 3) space, 4) environmental control (locus of control), 5) biological variations, and 6) communication. All of these factors can impact how staff organize and perform their tasks. While traditional barriers and cultural expectations and norms are also important factors to be considered, they are not described by Poole et al. (1995) as being as critical as the six noted above.