Week 3 Questions Assignment NR 222

Choose the best answer(s) according to clinical/critical reasoning/rationale.

Chapter 9 Cultural Awareness

Carla Lopez is a 20-year-old Mexican who immigrated to the United States 2 years ago. She works for her uncle in his restaurant. Her 21-year-old boyfriend, Juan, is also Mexican and has been in the United States less than 1 year. Carla just gave birth to a girl yesterday in the hospital. Carla and Juan both speak English hesitantly. Marie Smith, a nursing student, is taking care of Carla today. Marie does not speak any Spanish.

1. Marie goes in to begin caring for Carla and finds that she has a roomful of visitors who are identified as her extended family. Marie knows that Carla needs rest. Marie tells the visitors that they must leave now so Carla can rest. This is showing what type of care?
2. Carla refuses to ambulate without an abdominal binder during her postpartum stay in the hospital. Of what belief is this a manifestation?
3. Marie knows that it is important when planning care to conduct a cultural assessment. Which of the following are important aspects for conducting a cultural assessment on Carla? (Select all that apply.)

Case Study

Ms. Jackson is a 44-year-old overweight woman who was diagnosed with diabetes 2 years ago and is now insulin dependent. In 2012 the company she worked for downsized, and Ms. Jackson lost her job. As a result she was unable to pay her mortgage and became homeless. Since then she has been staying with various family members and friends because she has not been able to afford her own apartment. She has been working as an office temp from time to time but has not been able to find full-time work. She arrived at the emergency department (ED) with a blood sugar of 322 (normal range is 80 to 120) and a hemoglobin A1C of 11% (normal is approximately 5%). Sam is a 23-year-old nursing student assigned to care for Ms. Jackson.………

4. What are steps for the nurse to develop culturally competent care?

Chapter 10- Caring for Families

Sarah Buchanan is a nursing student who is doing a home health care nursing clinical. She is assigned to visit Ted Wall, a 50-year-old black man who is in the late stage of AIDS. His wife Sheri is also 50 years old and is raising their daughter’s two children who are 3 and 5 years of age. Sheri does not work outside the home. Ted is receiving Social Security benefits. The mother of the children is in jail for dealing drugs. The children’s father has not been involved with them at all.

1. Sarah determines that this is an example of what type of family?

2. Which of the following factors should Sarah assess in determining the health of the Wall family?
3. Which of the following factors should Sarah assess in determining the health of the Wall family?
4. Sheri’s mother is a widow and is becoming unable to care for herself. Sheri is now also spending more of her time taking care of her mother. What is the term for this phenomenon?

Additional Questions

1. List the 5 Emerging Populations in the United States and some potential health problems (see ppt- emerging populations):

1. Describe each family type below and describe its composition and the unique needs of each of these families:

NR 222 Week 3 Questions

1. Who authored the framework, which provides the foundation for nursing assessment and diagnosis using the functional health patterns?
2. When assessing a client’s activity-exercise pattern, which subjective finding has implications for nursing practice?
3. During a health history, a person reports getting 5 hours of sleep a night. What does this information indicate to the nurse?
4. A nurse is counseling a person with a dysfunctional sleep pattern. Which of the following recommendations would the nurse most likely give the person?
5. A young couple is deciding if they should get married and start a family. Which of Erikson’s life stages are they experiencing?
6. A client reports that her family will be moving because her husband is taking a new job in another state. She is very unhappy about the decision and doesn’t want to move. What action should the nurse take next?
7. The nurse is caring for a family who has 2-year-old twins. Which of the following health promotion advice would be included in the nurse’s plan of care for this couple?
8. A nurse is providing follow-up care for a family who has recently had a baby. Which of the following topics should the nurse anticipate discussing with the family?
9. A nurse is using a health education component when teaching about smoking cessation. Which of the following actions is the nurse implementing?
10. A nurse is counseling a teenager who smokes one pack of cigarettes a day. The teenager states he likes to smoke with his friends and does not recognize the connection between his smoking and his asthma. When planning an intervention for this person, the nurse must first recognize that the teenager is in the:
11. A Medicare client reports to the home care nurse that he is receiving care through an accountable care organization (ACO). Which of the following considerations should be made when delivering care to this individual?
12. Which form of managed care restricts providers to caring for individuals who are members of their organization?