A patient who returns to the emergency department 2 days after ...

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A patient who returns to the emergency department 2 days after being seen is feeling no better. On assessing the patient, the nurse learns that the antibiotic prescription the patient left with has not been filled.
 
  Which question or statement by the nurse would elicit the most information about this situation?
  a. I'd like to know why you haven't gotten that filled.
  b. Is that medicine too expensive for you to get filled?
  c. Please tell me about the type of insurance you have.
  d. Why haven't you gotten that prescription filled yet?

Question 2

When working with Campinha-Bacote's model of cultural competence, the nurse is aware that the most important concept inherent in the model is cultural
 
  a. awareness.
  b. desire.
  c. encounters.
  d. skill.

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Answer to Question 1

C
In a recent survey sponsored by the Kaiser Family Foundation, 33 reported relying on home remedies and over-the-counter drugs rather than visiting a doctor, and 28 postponed necessary care. Seventeen percent reported experiencing serious financial problems because of family medical bills. Seven percent reported being unable to pay for basic necessities such as food, heat, or housing because of health care costs. Forty percent reported being very worried about having to pay more for their health care or health insurance. The nurse should assess insurance status using open-ended statements.
Although the nurse is interested in why the prescription has not been filled, the goal is not to sound accusing.
Is that medicine too expensive for you to get filled? is a yes/no question that will elicit only a limited amount of information.
Why questions frequently promote defensive responses and are not the best choice for asking about sensitive information.

Answer to Question 2

B
Cultural desire provides the energy and foundation for the health care provider's journey toward cultural competence. It is an internal motivator for the nurse and is probably the most important part of the model.
Cultural awareness is a concept in Campinha-Bacote's model but is not the pivotal one.
Cultural encounters is a concept in the Campinha-Bacote model but is not the pivotal one.
Cultural skill is a concept in the Campinha-Bacote model but is not the pivotal one.

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Thanks for the timely response, appreciate it

[LegendaryAnswers]

Excellent