A nurse at a community clinic is preparing an educational guide about cultural variances in expression of pain. Which of the following information should the nurse include?
Native American cultural practices include being outspoken about pain.
Puerto Rican cultural practices include the view that outspoken expressions of pain are shameful.
Middle Eastern cultural practices include hiding pain from close family members.
Chinese cultural practices include enduring pain to prevent family dishonor.
The Correct Answer is D
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A school nurse caring for a child with muscular dystrophy who is having difficulty swallowing at lunch should initiate a referral to a speech-language therapist. Swallowing difficulties, or dysphagia, can lead to aspiration and respiratory complications. Speech-language therapists specialize in the evaluation and treatment of dysphagia. Occupational therapists may also work with clients who have dysphagia to help with positioning and adaptive equipment, but their primary focus is on activities of daily living. Dietitians may be consulted for nutritional support, but they are not trained to evaluate or treat dysphagia. Respiratory therapists may be involved in the care of clients with dysphagia who have respiratory complications, but they are not the primary referral for this issue.
Correct Answer is C
Explanation
When caring for a client with terminal cancer who expresses a desire to discontinue enteral tube feedings, the nurse's priority is to ensure that the client's wishes are respected and appropriate steps are taken. The most suitable action is:
c) Explain the process for completing a living will.
A living will is a legal document that outlines a person's preferences regarding medical treatment in the event they are unable to communicate their wishes. In this situation, the client can express their desire to forgo enteral tube feedings through a living will, ensuring that their wishes are documented and legally recognized.
The other options may not be as appropriate:
a) Request the facility chaplain to visit the client:While spiritual and emotional support is important, the immediate concern is ensuring the client's autonomy in decision-making regarding medical interventions.
b) Ask the client to sign an informed consent form:Informed consent typically pertains to specific medical procedures, and discontinuing enteral tube feedings is more aligned with the broader context of advance care planning.
d) Complete an against medical advice form:This form is typically used when a patient refuses a recommended treatment against the medical team's advice. However, in this case, the client is expressing their own treatment preferences, and the focus should be on facilitating advance care planning and documentation.
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