A hospice nurse plans care for four culturally diverse patients, ...

[K@]

A hospice nurse plans care for four culturally diverse patients, each of whom has advanced cancer. Which patient will most likely wish to engage actively in end-of-life planning?
 
  a. Native American; worked as a forest ranger
  b. Female immigrant from China; acupuncturist
  c. Refugee laborer from war-torn African country
  d. Fourth-generation New England native; accountant

Question 2

A patient is ready to be released from leather four-point restraints (restraints on both wrists and both ankles). Place the following actions involved in releasing a patient from restraints in their correct order.
 
  A. Maintain the patient in seclusion and reassess.
  B. Complete the removal of the restraints.
  C. Continue to observe the patient closely.
  D. Reassess the patient for safety.
  E. Release one ankle from restraint.
  F. Remove the patient from seclusion.

[wuly]

Answer to Question 1

D
This patient would hold a Western worldview and value autonomy, independence, and self-reliance. The patient would see time as linear and have an internal locus of control. Self-action would be a high priority. For the distracters, the concept of person is defined more in relationship to others, and the locus of control is self-rooted in tradition or in natural forces. The need for independence and self-reliance is far less. Tradition, fate, or other forces are seen as being in control.

Answer to Question 2

1 . E
2 . D
3 . B
4 . A
5 . F
6 . C
The patient should be removed from restraints and reintegrated to the unit in a step-wise, progressive fashion. Restraints are removed one at a time, usually with one ankle removed first. After reassessment to assure that the patient is safe to continue the release, the restraint on the wrist opposite the free ankle is removed, and after reassessment, the remaining two restraints are removed. The patient should then remain at least briefly in seclusion for further observation and assessment, then be returned to the unit, at which time close observation should continue in case the patient's condition deteriorates again amidst the greater stimulation and reduced external controls that characterize the unit proper.

[K@]

Thank you

[wuly]

No problemo