The nurse is assessing an older adult from a culture different than the nurse's by asking questions from the Explanatory Model for Culturally Sensitive Assessment
Which question(s) should the nurse ask to follow this model? (Select all that apply.)
a. How can we negotiate to solve the prob-lem?
b. What treatment can improve your condi-tion?
c. Should we try my plan first to see if it helps?
d. Can we discuss differences in our plans now?
e. How long have you experienced the prob-lem?
f. Who, other than me, can make you feel better?
B, E, F
Asking about potential therapies is a question from the Explanatory Model and asks what the in-dividual believes will help clear up the problem. The nurse asks about the duration of the problem as a part of applying the Explanatory Model. The nurse asks about other disciplines that the individual believes can be therapeutic. This question is based on the LEARN Model.
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When examining a 7-year-old, which action by the nurse would be most appropriate?
1. Allow the child to participate in the exam. 2. Ask the parent what kind of food the child likes to eat. 3. Ask the child whether he plays outside for at least 30 minutes a day. 4. Allow the child to decide whether he is ready for his next immunization.
The model of consultation that is likely to be effective when problems are simple and the client needs specific expert information is the:
1. Doctor-patient model 2. Process model 3. Purchase of expertise model 4. Content model
The client presents to the emergency department after a motor vehicle crash. Vital signs on admission are heart rate 56, respiratory rate 16, blood pressure 150/90, and temperature 97°F
Which vital sign finding indicates a sympathetic nervous system response? 1. Respiratory rate 2. Temperature 3. Blood pressure 4. Heart rate
The nurse is part of a multidisciplinary team for a 10-year-old girl who has a history of self-mutilation. As the team members develop a behavior plan of care, the nurse should prioritize what action?
A) Encourage the girl to get involved in extracurricular activities to distract herself from self-destructive urges. B) Take a nursing history to confirm a diagnosis of borderline personality disorder. C) Review her academic record to document that she qualifies for extra assistance. D) Outline a behavior contract with the girl delineating the consequences of self-destructive behavior.