Test Bank Virtual Clinical Excursions 3.0 Medical Surgical Nursing 7th Edition Ignatavicius

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Test Bank Virtual Clinical Excursions 3.0 Medical Surgical Nursing 7th Edition Ignatavicius

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Virtual Clinical Excursions—Medical-Surgical Nursing
for
Ignatavicius and Workman:
Medical-Surgical Nursing: Patient-Centered Collaborative Care, 7th Edition

prepared by
Kim D. Cooper, RN, MSN

Answers
Lesson 1—Cultural Aspects of Health
Exercise 1
1. Nutrition
Communication
Family roles and organization
Workforce issues
Biocultural ecology
High-risk behaviors
Overview (e.g., heritage)
Pregnancy and childbirth practices
Death rituals
Spirituality
Health care practices
Health care practitioners
2. c, b, d, a
Exercise 2
1.
Patient Cultural Needs/Considerations
Harry George Caucasian. Homeless for the past several months. Lives on the streets, in
homeless shelters, and occasionally with friends. Does not hold long-term
employment. Has moved from state to state in recent years.
Piya Jordan Born in Thailand. Married an American solider and then moved to United States.
College-educated in United States, but primary language used at home is Thai.
Primary caregiver for 84-year-old mother. Language issues and culture issues of
Asian ancestry—especially related to her mother.
Clarence Hughes African-American. Chronic pain, which interferes with mobility. May need to
consider subculture of patients with disabilities.
Pablo Rodriguez Affluent Mexican business owner. Speaks English fluently. Widower.

Virtual Clinical Excursions—Medical-Surgical Nursing
for
Ignatavicius and Workman:
Medical-Surgical Nursing: Patient-Centered Collaborative Care, 7th Edition

prepared by
Kim D. Cooper, RN, MSN

Answers

1

2. Harry George is experiencing pain. He wants relief from the pain. He is also requesting to have alcohol.
He believes his “bottle” will help him manage the pain better.
3. b, a
4. • Cardiovascular disease
• Infection
5. • Family roles (related to pain control)—Perhaps Piya Jordan’s daughter is afraid that her mother will
suffer without complaining and is therefore pushing the PCA button too frequently instead of
allowing her mother to be in charge of this area. Many Asian subcultures highly value and respect
older adults.
• Health care practices—The nurse should be familiar with any folk-medicine beliefs regarding the
use of blood transfusions. Other areas to explore would be Piya Jordan’s beliefs regarding
acupuncture and hot/cold theories related to pain control.
• Spirituality—The nurse should explore the role of religion in Piya Jordan’s health beliefs.
• Communication—The nurse should understand the ability of the patient to communicate, since
primary language at home is Thai. The nurse should also explore acceptable forms of nonverbal
communication.
• Biologic ecology (specifically ethnopharmacology)—Piya Jordan has a sensitivity to meperidine,
perhaps related to drug metabolism difference.
6. • Biologic ecology (specifically ethnopharmacology)—Clarence Hughes rates his pain as an 8 and is
due for pain medication (has been 4 hours). The nurse should be aware of the potential need for
higher doses if Clarence Hughes has a higher-than-normal drug metabolism rate.
• Health care practices—The nurse should explore Clarence Hughes’ belief regarding hot/cold
theories related to healing.
• Nutrition—African-Americans are more commonly lactose-intolerant.
7. Pablo Rodriguez doesn’t like to talk about his problems with his children. He believes that the parent
should be there for the child. He also believes that his pain is God’s punishment for his smoking. Pablo
Rodriguez believes that discussing his pain with his children will show weakness. He is not used to
discussing his problems. This demonstrates a belief in stoicism, which might interfere in proper
symptom management.

2 ANSWERS
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