The nurse is using Giger and Davidhizar's Transcultural Assessment Model to gain information about a patient from an unfamiliar culture. What questions does the nurse ask that are relevant to this mode? (Select all that apply.)
a. "Who would you like present to help answer questions?"
b. "What do you believe caused your current illness?"
c. "How important is planning for the future to you?"
d. "Why don't you want to shake my hand?"
e. "What activities would you do to control your health?"
ANS: A, B, C, E
The Giger and Davidhizar Transcultural Assessment Model looks at communication, space, social orientation, time, environmental control, and biological variation. The questions all address these factors; however, asking why the patient does not want to shake the nurse's hand sounds judgmental and "why" questions are a communication barrier.
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During a preoperative assessment, the nurse learns that a client takes all-natural nutritional supplements. Which response should the nurse make to this client?
a. "Discuss this with the anesthesiologist the day of surgery." b. "Skip the supplements the day of surgery, but resume afterwards." c. "Since the dietary supplements are "all natural" there should not be a problem." d. "Even all-natural dietary supplements may interact with anesthesia, medications, or alter blood clotting."
An older female patient asks the home care nurse what can be done to help with painful intercourse. What recommendations should the nurse make to the patient? Select all that apply.
1. Avoid intercourse. 2. Decrease the frequency of intercourse. 3. Use vaginal lubricants during intercourse. 4. Use the hand to guide the penis into the vagina. 5. Tolerate the problem because it is a normal part of aging.
The skin is a good indicator of the general health of the body.
Answer the following statement true (T) or false (F)
A client, age 30, hospitalized with the diagnosis of AIDS, placed a "No Visitors" sign on his door and refused phone calls. He stated to the nurse, "I know you don't want to be around me."
Which of these nursing diagnoses is applicable to this situation? 1. Fear of dying related to medical diagnosis 2. Social isolation related to fear of rejection 3. Deficient knowledge related to cognitive limitations 4. Anger related to having to face death at such a young age