Author Question: A patient with a history of alcohol dependence is discharged with nutritional recommendations to ... (Read 41 times)

storky111 · **on:** Jul 19, 2018

A patient with a history of alcohol dependence is discharged with nutritional recommendations to increase the intake of vitamin B foods and thiamine. What factor does the nurse recognize as most likely to impede the patient's ability to adhere to the

treatment plan?
1. Age
2. Education level
3. Lifestyle habits
4. Social environment

Question 2

A Native American patient diagnosed with lung cancer wants to have a shaman come to the hospital to perform a healing ceremony at his bedside. Using Leininger's theory, how should the nurse respond?

1. I will help arrange the visit for you.
2. That is not an acceptable part of hospital procedures.
3. It might interfere with your current course of treatment.
4. It is not a good idea because it might upset the other patients.

sabina576 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Answer: 3
Explanation: Dietary practices are lifestyle habits that will influence the patient's ability to adhere to the treatment plan. Education level or social environment may or may not influence patient adherence to the dietary recommendations. Age should not influence the patient's ability to adhere to the dietary recommendations.

Answer to Question 2

Answer: 1
Explanation: According to Leininger, the role of the nurse is to provide culturally congruent care. The nurse's first obligation is to her patient. She can help mitigate any impact the ceremony may have on the other patients. There is no indication that the shaman's visit would interfere with other treatment. Care procedures should support an individual's values and beliefs.