A client has blindness related to conversion disorder. To help ...

[CORALGRILL2014]

A client has blindness related to conversion disorder. To help the client eat, the nurse should
 
  a. establish a buddy system with other clients who can feed the client at each
  meal.
  b. expect the client to feed self after explaining the arrangement of the food on the
  tray.
  c. see to the needs of other clients in the dining room, then feed this client.
  d. direct the client to locate items on the tray independently and feed self unassisted.

Question 2

A Haitian client who has been diagnosed with depression tells the nurse that There's nothing you
  can do. I'm being punished. The only thing I can do is see Sister Ondine. She's the only one who
  can take away curses..
 
  How might the culturally knowledgeable nurse assess the situation? The
  client
  a. is feeling hopeless, helpless, and worthless related to some yet-to-be-established
  cause.
  b. may have a delusion of persecution.
  c. has probably been misdiagnosed.
  d. may believe her distress resulted from a spell cast upon her.

[stillxalice]

Answer to Question 1

ANS: B
The client is expected to maintain some level of independence by feeding self, while the nurse is
supportive in a matter-of-fact way. Options A and C support dependency. Option D offers little
support.

Answer to Question 2

ANS: D
Culturally diverse individuals of African American or Caribbean cultures who have a fatalistic
attitude about illness may believe they are being punished for wrongdoing or that they are victims of
witchcraft or voodoo. They are usually more reticent to share information about curses with
therapists than the client in this scenario, however. Options A and B: No data are present in the
scenario to support these assessments. Option C: Misdiagnosis more commonly labels a client with
depression as having schizophrenia.

[CORALGRILL2014]

TYSM

[cdmart10]

Gracias!