Before you begin your examination, the grandson, an attorney, tells you that elderly Italianwomen are extremely modest and might not answer questions completely. He indicates thathe'd like to stay in the room during the examination
How will you proceed?
First have the interpreter ask her permission for the grandson to stay in the room for the history
portion; however, he would need to step just outside the room for the physical examination. It
would be a violation of the Health Insurance Portability and Accountability Act (HIPAA) to have him
stay without the patient's permission. Again, before asking her a personal question, try to establish
rapport. Watch her as she answers the interpreter's questions, and watch her body language. Explain
before asking the questions that some of the questions might seem "personal" or "embarrassing"
but that the information will be important to know to help her to feel better.
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A patient experiences debilitating migraines on a frequent basis and has had oral prochlorperazine (Compazine) added as an adjuvant medication to abortive therapy
When teaching the patient to take this drug safely in the home setting, the nurse should emphasize what teaching point? A) The importance of taking the pill whole and not crushing or splitting it B) The importance of having a bimonthly complete blood count (CBC) drawn C) The need to avoid taking the drug after eating fatty food D) The need to be aware of the potential for hypotension
Critical thinking is a purposeful, goal-directed process of inquiry that uses available facts, principles, theories, and abstractions. Which of the following statements best describes the processes that are accomplished through critical thinking?
a. Make inferences, solve problems, arrive at decisions. b. Persuade others, induce debate, use intuition. c. Make inferences, reduce fractions, make decisions. d. Solve problems, elevate issues, reflect actions.
A 10-month-old is brought to the emergency department by her parents after they found her face down in the bathtub. The mother said, "I just left the bathroom to answer the phone. When I came back, I found her." Which assessment would be the pri
A) Airway, breathing, and circulation B) Level of consciousness C) Vital signs D) Pupillary response
The nurse is caring for a patient experiencing a relapse of a schizophrenia spectrum disorder (SSD). As the nurse considers the plan of care, which type of nursing intervention will the nurse give priority?
1. Patient education 2. Direct action 3. Disease prevention 4. Family involvement