NURSING 1200 Culture

NURSING 1200 Culture Question 1 See full question 47s The obstetrical nurse is caring for a client who is three hours postpartum. The client tells the nurse that nearly a dozen family members will be soon arriving to visit her and her infant. The client assures the nurse that this is the norm in her culture. What is the nurse's best action? You Selected:  Facilitate the visit, unless it is ruled out medically or logistically. Correct response:  Facilitate the visit, unless it is ruled out medically or logistically. Explanation: Unless there is a valid reason why this visit is an impossibility, the nurse should facilitate it. It would be inappropriate to have the client assert something that she does not truly believe. Policies concerning visitors vary by site, but none would limit visitors to only one at a time. Remediation:  Cultural assessment  Cultural needs assessment during pregnancy Add a Note Question 2 See full question 16s The nurse has observed that a client who identifies as a Mormon has drunk the coffee that was on the breakfast tray. How should the nurse best interpret this observation? You Selected:  The client's personal religious practices may differ from those of the larger religious group. Correct response:  The client's personal religious practices may differ from those of the larger religious group. Explanation: When identifying characteristics or behaviors of particular religions it is important to know that there is often wide variation between individuals and groups. Not every person who says that he or she is a Mormon will always forgo coffee, for example, even though it is not acceptable. At the same time, it would presumptuous to conclude that the client no longer adheres to this particular religion. Remediation:  Spiritual care Add a Note Question 3 See full question 1m 29s The nurse is providing care for a client who was prescribed escitalopram three weeks ago. What statement by the client should be of greatest concern to the nurse? You Selected:  "I have started taking St. John's wort because I have read it can help my mood." Correct response:  "I have started taking St. John's wort because I have read it can help my mood." Explanation: Concurrent use of St. John's wort and sustained serotonin reuptake inhibitors can lead to excessive serotonin levels. The risks associated with colon cleanses, multivitamins, and acupuncture are significantly lower, though any complementary or alternative therapy should be discussed with the provider. Remediation:  Alternative Medicine Add a Note Question 4 See full question 1m 49s A client has been prescribed valproic acid for the treatment of bipolar disorder. The client tells the nurse, "I know that vitamin B can help with depressive episodes, so I am going to give that a try." What is the nurse's best response? You Selected:  "Be sure to dialogue with your care provider before you start taking vitamin B supplements." Correct response:  "Be sure to dialogue with your care provider before you start taking vitamin B supplements." Explanation: The priority action is educate the client about the need to inform the care provider before taking supplements, over-the-counter medications, or herbal remedies. Many contraindications exist, but it is inaccurate to state that all herbal remedies are contraindicated. The source of the client's beliefs and the client's long-term plans are relevant, but the need for consultation with the provider is the priority. Remediation:  Alternative Medicine Add a Note Question 5 See full question 42s After unsuccessful CPR efforts, the nurse must prepare an Islamic client for the morgue. Which nursing action should the nurse take? You Selected:  Asking the client’s family if they want to perform the ritualistic washing Correct response:  Asking the client’s family if they want to perform the ritualistic washing Explanation: Physical care, at death, for a person of the Islamic faith consists of ritualistic washing by the family, with the client’s body positioned toward Mecca. This action would be a family choice. The Burial Society may perform ritual cleansing for clients of the Jewish faith. Hindu clients believe that only family and close friends should touch the body. Routine post-mortem care is appropriate for Christian clients. Remediation:  Cultural assessment  Spiritual care .....Continued....