The nurse notices that one of her clients, who has depression, is sitting by
the window crying. What is the most appropriate response by the nurse?
Give this one a go later!
"It's okay. No need to cry or worry while you're here. We all feel down now and then."
"Please don't consider suicide. It really isn't an appropriate way out of your troubles."
, "You seem to be experiencing a sad moment. I'll sit here with you for a while and
talk if you would like."
"Why don't you go into the dayroom and join the card game going on? That'll take your
mind off of your problems for a while."
Don't know?
Term 2 of 15
The nurse is advised to join a community health center that mainly caters
to Latino clients. Which skills should the nurse develop to help reduce
health disparities? Select all that apply.
1. Learning to speak basic medical Spanish
2. Updating clinical supplies at the health care facility
3. Learning about the health literacy rate of the community
4. Incorporating the health beliefs of the community in any nursing care
plans
5. Learning about and respecting unique beliefs and values prevalent
among the group
Give this one a go later!
, 2, 3
Rationale:
Depression in the older adult is most often associated with the loss of family members
and friends (e.g., death, relocation) and declines in mobility, health, and income. A
decline in health, particularly when associated with a chronic illness, frequently
precipitates depression in older adults. Dementia is a cognitive problem. Research does
not correlate the onset of depression with a milestone birthday in older adults. A
traumatic injury does not precipitate the onset of depression in the older adult as often
as does a chronic illness.
1, 3, 4, 5
Rationale:
In order to provide effective health care service to the ethnic group, the nurse
should learn to speak basic medical Spanish. This promotes communication and
develops trust between the nurse and the clients. Learning about the clients'
health literacy can help the nurse identify areas of opportunity for client
education and health promotion. Incorporation of beliefs and values in plans of
care can make the care more effective. The nurse should learn about the unique
values and beliefs of the ethnic group and respect them to deliver equitable
health care. Updating the clinical supplies at the health care facility is a basic
responsibility of the nurse, but it will not help reduce health disparity.
4.
Rationale:
The primary goal of Healthy People 2020 is to eliminate health disparities related to
race, ethnicity, and socioeconomic status. This helps to increase the quality of health
care and help people live longer. Nonmaleficence is the ethical concept that
emphasizes the importance of preventing harm and ensuring the client's well-being.
Beneficence is the ethical concept that encourages the nurse to do good for the client.
According to the American Nurses Association (ANA) Code of Ethics for Nurses (2010),
if the client is not capable of self-determination, the nurse is ethically obligated to
protect the client as an advocate within the professional scope of nursing practice.
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