The nurse manager would determine that a nurse understands ...

[schs14]

The nurse manager would determine that a nurse understands culturally sensitive care if which statements are made? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. Since all of our patients have the same illnesses, I sometimes get bored.
  2. I have been helping my patient understand how to choose foods from our diet menu.
  3. I am concerned because my patient needs sterile dressing changes but has no running water at home.
  4. My patient and I worked out a way to get her medications delivered to her at home.
  5. I invited a group from my church to come and sing hymns for our patients.

Question 2

The mother of an adolescent patient says to the nurse, I think my son is staying up too late studying. He seems listless, and I see him using eye drops all the time for his red eyes. Should I have his vision checked? What is the best response by the nurse?
 
  1. He might be depressed; insomnia is common with depression.
  2. He could be smoking marijuana, and I would talk to him.
  3. Sounds like he is using cocaine; I have seen this before.
  4. Yes, that is a great idea; he may need some glasses.

[coreycathey]

Answer to Question 1

2,3,4
Rationale 1: A nurse who believes that patients who have the same illness are alike is not seeing their psychosocial needs.
Rationale 2: Helping the patient cope and navigate through the hospital culture is a culturally sensitive action.
Rationale 3: Cultural sensitivity takes environment into consideration.
Rationale 4: Helping the patient cope and navigate through potential blockers to medication adherence is a culturally sensitive action.
Rationale 5: Imposing one's own religious beliefs on others is not culturally sensitive.
Global Rationale: Helping the patient cope and navigate through the hospital culture is a culturally sensitive action. Cultural sensitivity takes environment into consideration. Helping the patient cope and navigate through potential blockers to medication adherence is a culturally sensitive action. A nurse who believes that patients who have the same illness are alike is not seeing their psychosocial needs. Imposing one's own religious beliefs on others is not culturally sensitive.

Answer to Question 2

2
Rationale 1: Depression in this patient is possible, but depressed patients do not always have red eyes and do not commonly use eye drops.
Rationale 2: Chronic use of marijuana is associated with a lack of motivation in achieving or pursuing life goals. One hallmark symptom of marijuana use is red or bloodshot eyes, caused by dilation of blood vessels. It is important for the parent to discuss this with the adolescent.
Rationale 3: Red or bloodshot eyes are not commonly seen with cocaine abuse but are always seen with marijuana use.
Rationale 4: Having the adolescent's eyes checked may indicate that the mother is in denial and that the nurse needs to be more alert to the signs and symptoms of drug abuse.
Global Rationale: Chronic use of marijuana is associated with a lack of motivation in achieving or pursuing life goals. One hallmark symptom of marijuana use is red or bloodshot eyes, caused by dilation of blood vessels. Visine constricts the blood vessels of the eyes, reducing the redness. It is important for the parent to discuss this with the adolescent. Having the adolescent's eyes checked may indicate that the mother is in denial and that the nurse needs to be more alert to the signs and symptoms of drug abuse. Depression in this patient is possible, but depressed patients do not always have red eyes and do not commonly use eye drops. Red or bloodshot eyes are not commonly seen with cocaine abuse but are always seen with marijuana use.

[schs14]

Both answers were spot on, thank you once again

[coreycathey]

Great! Please up vote