A recent immigrant from Honduras comes to the clinic with a ...

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A recent immigrant from Honduras comes to the clinic with a family member who has been a U.S. resident for 10 years. The family member says, The immigration to America has been very difficult.
 
  Considering cultural background, which expression of stress by this patient would the nurse expect?
 
  a. Motor restlessness
  b. Somatic complaints
  c. Memory deficiencies
  d. Sensory perceptual alterations

Question 2

A patient diagnosed with emphysema has severe shortness of breath and needs portable oxygen when leaving home. Recently the patient has reduced activity because of fear that breathing difficulty will occur. A nurse suggests using guided imagery.
 
  Which image should the patient be encouraged to visualize?
 
  a. Engaging in activity without using any supplemental oxygen
  b. Sleeping comfortably and soundly, without respiratory distress
  c. Feeling relaxed and taking regular deep breaths when leaving home
  d. Having a younger, healthier body that knows no exercise limitations

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Answer to Question 1

ANS: B
Honduras is in Central America. Many people from Central American cultures express distress in somatic terms. The other options are not specific to this patient's cultural background and are less likely to be observed in persons from Central America.

Answer to Question 2

ANS: C
The patient has dysfunctional images of dyspnea. Guided imagery can help replace the dysfunctional image with a positive coping image. Athletes have found that picturing successful images can enhance performance. Encouraging the patient to imagine a regular breathing depth and rate will help improve oxygencarbon dioxide exchange and help achieve further relaxation. Other options focus on unrealistic goals (being younger, not needing supplemental oxygen) or restrict her quality of life.