A Chinese-American patient comes to the mental health clinic after referral by her prima-ry care physician
She complains of nervousness, headaches, fatigue, and vague GI symptoms for which no organic basis has been established. The symptoms began about 9 months ago when her favorite aunt died. The most appropriate independent nursing action would be to:
a. Prescribe a trial course of antianxiety medication.
b. Plan strategies for cognitive behavioral therapy.
c. Arrange admission to the inpatient unit for a complete workup and psychologic testing.
d. Confer with the psychiatrist about the cultural association between depression and somatic symptoms.
ANS: D
Expression of symptoms is influenced by ethnicity and culture. When depressed, Asian and Asian-American patients describe somatic symptoms, whereas patients of Western cultures may focus on mood and cognitive symptoms. Option d is an appropriate independent inter-vention the nurse should take. Options a, b, and c would be considered collaborative, rather than independent, interventions.
You might also like to view...
Which of the following instructions should a nurse give to clients with opiate dependency who take methadone?
A) Avoid driving for 3 hours after medication. B) Take vitamin substitutes. C) Maintain bed rest for 1 hour after medication. D) Wear a Medic Alert tag.
Charge minus cost = ____
a. Cash flow b. Expense incurred c. Profit d. Total reimbursement
______________________ feeds allow the individual to subscribe to content eliminating the need to manually search for new information. Standard Text:
Fill in the blank(s) with correct word
A nurse from the ICU receives report from the ED nurse on a patient that includes a diagnosis of syncope unknown etiology
Orthostatic VS lying: 110/80 mm/Hg; sitting: 100/74 mm/Hg; standing: 92/40 mm/Hg. Based on this information, the nurse should monitor the patient's a. breathing. b. dietary intake. c. peripheral pulses. d. activity.