Y.L. is diagnosed with type 2 DM. The provider starts her on metformin (Glucophage) 500 mg and glipizide (Glucotrol) 5 mg orally each day at breakfast and atorvastatin (Lipitor) 20 mg orally at bedtime
She is referred to the dietitian for instructions on starting a 1200-calorie diet using an exchange system to
facilitate weight loss and lower blood glucose, cholesterol, and triglyceride levels. You are to provide education regarding pharmacotherapy and exercise.How can you incorporate Y.W.'s cultural preferences as you develop her education plan?
So you can interpret the context of her culture in her lifestyle, you need to assess several factors.
What is her primary language? She may need written information in another language. What is her
understanding of diabetes? In some Asian cultures, it is believed that developing diabetes is fate or
the result of spiritual failure. How does her culture affect her lifestyle? What is her religion? She may
fast periodically, causing swings in glucose levels, and may wish to incorporate Eastern medicine
practices into her DM care. What are her eating habits? The diet may be high in carbohydrates such
as rice and pasta.
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During the shift report, a nurse describes a client as "crazy." Which approach by the nurse would be best?
1. Ask the staff what terminology they wish to use. 2. Say nothing. 3. Suggest that staff use the term "mentally ill." 4. Role model using the term "nervous breakdown."
A seasoned nurse tells a colleague that she went to nursing school before nursing diagnosis existed. When was nursing diagnosis added as a separate and distinct step in the nursing process?
a. 1959 c. 1974 b. 1963 d. 1985
A nurse is employed in home health nursing practice. Which of the following terms best describes the care that is being provided?
a. Intermittent nursing care b. Custodial care c. Family caregiving d. Palliative care
A nursing instructor is educating a class on the pharmacodynamics of psychiatric medications. The instructor determines that additional education is needed when the students identify which of the following as a site of action?
A) Receptor B) Ion channels C) Neurotransmitters D) Enzymes