A homeless Native American client is taken to the emergency department (ED) by a shelter nurse. The client has a history of diabetes and has had a sore on his foot for several weeks
He refuses to talk to the physician in the ED unless a shaman is present. Which nursing intervention would be most appropriate?
A) Try to locate a shaman and ask him to come to the ED.
B) Explain to the client that "voodoo" medicine will not heal the wound on his foot.
C) Ask the client to explain what he thinks the shaman will do differently than the ED physician.
D) Tell the client that he has the right to refuse treatment.
A
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The certified nursing assistant (CNA) tells the nurse: "I can help you with your assessment." What is the most appropriate response by the nurse?
a. "Thank you. I am having a busy day and I can use your help." b. "I'm sorry, but nurses are responsible for all patient assessment." c. "How long have you been a CNA?" d. "If you will obtain the vital signs and place them in the chart then that would be a big help."
The nurse is preparing a presentation on grief. What information should be included regarding factors that can affect duration and the course of grieving? Select all that apply.
1. Centrality of loss 2. Suicide of an adult child 3. Death of a child who lived next door 4. Cultural and ethnic influences 5. Survivor's religious or spiritual belief system
A nurse is preparing discharge teaching for an Asian-American woman with a fractured hip
The nurse reviews the client's diet history while hospitalized and is concerned that the patient refused milk and yogurt, placing her at risk for osteoporosis. What cultural variation is the nurse overlooking? Asian Americans: a. have denser bones that other ethnic groups. b. consume diets rich in pork bone and shells, reducing the risk of osteoporosis. c. would participate in the practice of burning to compensate for this injury. d. would consult a curandero for dietary consultation.
The nurse is assessing a client diagnosed with balanitis and posthitis. Which of the following will the nurse most likely assess in this client? (Select all that apply.)
1. Penile discharge 2. Hematuria 3. Pain 4. Erythema 5. Flank pain 6. Edema