Culture
an American nurse tries to speak with a Korean client who cannot understand the English language. to effectively communicate to a client with a different language what should the nurse implement?
have an interpreter translate
pt diagnosed with major depression who has attempted suicide says to the nurse " i should have died! Ive always been a failure. Nothing ever goes right for me." what response demonstrates therapeutic communication? "you have everything to live for." "why do you see yourself as a failure?" or "You've been feeling like a failure for a while?"
You've been feeling like a failure for a while?" - responding to the feelings being expressed by a patient is an example of restating
collaborative interventions are therapies that require
multiple healthcare professionals
dairy product, eggs, and plants included in this diet
lacto ovo vegetarian
how is the nastrogastirc tubing placed?
through the nasal cavity into the stomach
which of the clients has the lowest risk of diabetes mellitus? 45 yr old African American woman, 30 yr old Hispanic American man, or 25 yr old Asian American woman
25 yr old Asian American woman-asian americans have the lowest risk due to their health and dietary practices
your visiting a pt at home and they state they havent slept the last couple nights, you respond by saying "sometimes, i have trouble sleeping too." is this therapeutic communication or non therapeutic and why?
non therapeutic because offering personal experiences moves focus away from the patient and onto you.
priorities are determined by the clients:
urgency of problems
how many types of carbohydrates are there and what are they?
3: simple, complex, and fiber
whats the difference between gastrostomy tubing and jejunostomy tubing
gastrostomy is placed directly into the stomach as where the jejunostomy is placed into the small intestine
nurse is providing instructions to a Chinese American client about the frequency and dosages of the take home meds, as they keep turning away from the nurse, what would be an appropriate action? Keep speaking and ignore the nonverbal behaviors, make the pt face you, continue with instructions then confirm they understand or hand over written instruction and only discuss what they dont understand
continue with instructions then confirm pt understandsmost chinese are uncomfortable with face-face communication especially when eye contact is direct.
pt experiencing disturbed thought processes believes his food has been poisoned and refuses to eat, you as a nurse should implement what kind of communication technique to encourage the patient to eat? sharing personal preference, documenting reasons why pt wont eat, offering opinions about the necessity of nutrition or use open ended questions and stay silent
open ended questions and silence-used to encourage pt to discuss their problems and reason for the behavior.
planning is a category of nursing behaviors in which
client centered goals and expected outcomes are established
building blocks essential for normal functioning
nutrients
Patient comes in and is having difficulty swallowing food, what is the medical term for this?
dysphagia
your discussing preoperative procedures with a japanese ammerican pt and they continually smile and nod their head, how should you interpret this nonverbal behavior? acceptance of treatment, understanding of procedure, reflecting cultural value, orpt agreement to the procedure?
reflecting cultural value-nodding or smiling by a japenese american pt may reflect only the cultural value of interpersonal harmony
pt admitted to a mental health unit for treatment of psychotic behavior spends hours at the locked exit door shouting "let me out! theres nothing wrong with me, i dont belong here!" what defense mechanism are they implementing?
denial-refusal to admit to a painful reality
for clients to participate in goal setting they should be:
alert and have some degree of independence
A pt who is 65yrs old comes in and is complaining of pain in his abdomen and some incontinence, name three effects age has on the IG tract
decreased peristalsis, decreased gastric secretions, decreased muscle tones at sphincter
what are the health issues related to nutrition
anorexia, bulemia, obesity, pregnancy, substance abuse,
which of the following food items would be approriate for a jewish client who follows a kosher diet? shrimp and mussles, beef and pork, tuna and salmon, or cheese and milk?
tune and salmon-only fish that have scales and fins are allowed
which therapeutic communication technique is being used in this nurse-client interaction: client: "when i get angry, i get into a fistfight with my wife, or i take it out on the kids." Nurse: "I notcie that you are smiling as you talk about this physical violence."
Making observations-encourages the client to compare personal perceptions with those of the nurse
a written guideline for implementation and evaluation
Factors that influence nutrition
age, economic status, religion &culture, emotional status, illness
Patient comes in with hypertension and is advised to follow a certain type of diet. what is the diet called?
DASH diet-lowers high blood pressure and improves level of cholesterol