After suffering a massive cerebral hemorrhage, a client of Native ...

[piesebel]

After suffering a massive cerebral hemorrhage, a client of Native American descent is not expected to survive. The family arrives at the hospital and report to the nurse that they observe most of their religious and cultural traditions.
 
  Which of the following interventions by the nursing staff would be most appropriate? 1. Offer the family a private room to sit together
   2. Discourage the family from sitting with their loved one prior to death
   3. Discuss the possibility of transferring the client home for the death
   4. Encourage the family to assist in the care of the dying client

Question 2

A client who has diabetes mellitus has developed an open sore on a foot and is having trouble meeting goals for exercising. After the client spends a week in the hospital receiving wound care and antibiotics, the nurse decides to notify:
 
  1. The physical therapist.
   2. The pharmacy.
   3. The case manager.
   4. The occupational therapist.

[marict]

Answer to Question 1

1. Offer the family a private room to sit together

Rationale:
Traditional Native Americans prefer to mourn in private. They often will mourn away from the dying client. While the Native American culture might not encourage the family to be with the dying individual, it is not appropriate for the nurse to discourage the family from having time with the client at this critical point. The severity of the client's condition does not allow for transfer at this time. Traditional Native American rituals associated with death do not encompass assistance with the care.

Answer to Question 2

3. The case manager.

Rationale:
The client's needs and progress has changed. The nurse notifies the case manager to coordinate changes in care needed after discharge. A physical therapist may be needed, but the nurse would coordinate care best by notifying the case manager. The pharmacy is not needed as part of the team at this time. The occupational therapist mainly deals with the upper body areas needing rehabilitation. This client's exercise program needs to be revamped, and the case manager is the person to coordinate this change.

[piesebel]

TY

[marict]

You're welcome