A Native American patient describes a difficult childhood and ...

[Medesa]

A Native American patient describes a difficult childhood and dropping out of high school. The patient abused alcohol as a teenager to escape feelings of isolation but stopped 10 years ago. The patient now says, I feel stupid. I've never had a good job.
 
  I don't help my people. Which nursing diagnosis applies?
 
  a. Risk for other-directed violence
  b. Chronic low self-esteem
  c. Deficient knowledge
  d. Social isolation

Question 2

A Native American patient sadly describes a difficult childhood. The patient abused alcohol as a teenager but stopped 10 years ago. The patient now says, I feel stupid and good for nothing. I don't help my people.
 
  How should the treatment team focus planning for this patient?
 
  a. Psychopharmacologic al and somatic therapies should be central techniques.
  b. Apply a psychoanalytic approach, focused on childhood trauma.
  c. Depression and alcohol abuse should be treated concurrently.
  d. Use a holistic approach, including mind, body, and spirit.

[cam1229]

Answer to Question 1

ANS: B
The patient has given several indications of chronic low self-esteem. Forming a positive self-image is often difficult for Native American individuals because these indigenous people must blend together both American and Native American worldviews. No defining characteristics are present for the other nursing diagnoses.

Answer to Question 2

ANS: D
Native Americans, because of their beliefs in the interrelatedness of parts and about being in harmony with nature, respond best to a holistic approach. No data are present to support dual diagnosis, because the patient has resolved the problem of excessive alcohol use. Psychopharmacologic al and somatic therapies may be part of the treatment, but the focus should be more holistic. Psychoanalysis is a long-term expensive therapy; cognitive therapy might be a better choice.

[Medesa]

Excellent

[LVPMS]

Wow, this really help