J.H. is a 5-week-old infant brought to the emergency department (ed) by his mother, who speaks little
english. Her husband is at work. she is young and appears frightened and anxious.
Through a translator,
Mrs. H. reports that J.H. has not been eating, sleeps all of the time, and is "not normal."
What are some of the obstacles you need to consider, recognizing that Mrs. H. does not speak
or understand English well?
• If Mrs. H. is in the United States illegally, she might be reluctant to share personal information for
fear of deportation.
• Mrs. H. might have a limited education and might not know what is important to share.
• There might be cultural practices or norms concerning health care practices.
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Which of the following exemplifies the predominant conflict management style of nurse managers?
a. Elizabeth, the head nurse on neurology, finds that Tom, the RN nurse on nights, is irritable in relation to any suggestions or new ideas, and so she comes in to work after Tom leaves the unit. b. The technology committee has recom-mended a clinical system for implementa-tion on the nursing unit. Staff is anxious about the change. Tim, the head nurse, asks staff for ideas on how to meet the technology goals and to meet staff needs. c. During management meetings, George, the head nurse on nephrology, dominates meetings and decisions. Lee, the head nurse on the cardiac step-down unit, be-gins to miss the management meetings. d. Ann, RN, asks her head nurse if she can go on the permanent evening shift. The head nurse, Rajib, agrees, as long as Ann agrees to be involved in assisting to men-tor evening staff in the use of the new clinical information system.
A patient tells the nurse that he has a history of back pain that is controlled with yoga and herbal supplements. The nurse realizes this information is most likely considered as a part of:
1. Cultural beliefs and practices. 2. Spiritual beliefs. 3. Western medicine. 4. Stress reduction.
Clients identified with hyperlipidemia post–kidney transplant should be treated with a lipid-lowering agent and a therapeutic diet to prevent:
1. Hypertension. 2. Peripheral neuropathy. 3. Diabetes. 4. Cardiovascular disease.
An 18-year-old pregnant patient with hyperemesis gravidarum expresses the desire for the fetus to spontaneously abort. What should the nurse do?
A) Reassure that the conversation is confidential and encourage continuing sharing feelings B) Contact the hospital's psychiatry department to have someone see the patient C) Discuss with the charge nurse the possibility of a psychiatric or social services consult D) Share the information with the physician and the patient's family