A male African American client says to a white male nurse There's ...

[anjilletteb]

A male African American client says to a white male nurse There's no sense in talking with you.
  You wouldn't understand because you live in a white world.. The best response for the nurse would
  be to
 
  a. explain that the nurse can understand because everyone goes through the same
  experiences.
  b. ask the client to give an example of something he thinks the nurse wouldn't
  understand.
  c. reassure him that nurses are trained to deal with people from all cultures.
  d. gently change the subject to one that is less emotionally charged.

Question 2

The community psychiatric nurse learns that a suspicious and socially isolated client who lives alone
  chooses to eat one meal a day at a nearby soup kitchen and spend the remainder of his daily food
  allowance on cigarettes.
 
  The nurse's initial action should be to
  a. tell the client he must stop smoking to save money.
  b. assess weight and determine foods and amounts eaten.
  c. report the situation to the manager of the soup kitchen.
  d. seek rehospitalization for the client while a new plan is put into place.

[skipfourms123]

Answer to Question 1

ANS: B
Having the client speak in specifics rather than globally will help the nurse understand the client's
perspective. This approach will help the nurse draw out the client.

Answer to Question 2

ANS: B
Assessment of biopsychosocial needs and general ability to live in the community is called for
before any action is taken. Both nutritional status and income adequacy are critical assessment
parameters. Option A: This demand would probably be ignored. Remember, a client may be able to
maintain adequate nutrition while eating only one meal a day. Option C: The rule is to assess before
taking action. Option D: Hospitalization may not be necessary.

[anjilletteb]

Thank you

[skipfourms123]

Happy to help you