A nurse is caring for an Arab American patient in the hospital. The patient has many visitors who seem to be tiring the patient. What action by the nurse is best?
Limit the number of visitors the patient can have
Suggest shorter visits to the patients visitors
Require visitors to check in at the front desk
Only allow family members to visit the patient
The Correct Answer is B
A. Limiting the number of visitors may be a necessary step if the patient is becoming overwhelmed or tired. However, this approach might not consider the cultural significance of extended family and community in Arab American culture, where family involvement is often highly valued.
B. Suggesting shorter visits is a more balanced approach. It acknowledges the patient's need for rest while still respecting the importance of family and community involvement. This action can help manage the patient's fatigue while allowing them to maintain cultural and familial connections. It’s a compromise that accommodates both the patient's health needs and cultural values.
C. Requiring visitors to check in at the front desk can help manage visitor flow and ensure that the patient is not overwhelmed. However, this action does not directly address the issue of visitor duration or frequency, which might still lead to patient fatigue. It also might not align with cultural expectations of openness and hospitality in Arab American culture, where family and visitors are often seen as central to the patient’s well-being.
D. Allowing only family members to visit might help reduce the number of visitors and ensure that the patient receives support from those closest to them. However, this approach may be too restrictive and could potentially isolate the patient from their broader support network, which might be an important aspect of their cultural practices. It also does not address the underlying issue of managing visitor fatigue.
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Related Questions
Correct Answer is C
Explanation
A. Disregard is a general term that can refer to a lack of attention or concern. It does not specifically refer to the failure to exercise reasonable care.
B. Malpractice is a specific type of negligence that occurs when a professional person, such as a doctor or nurse, fails to provide services in a reasonably competent manner, resulting in harm to the patient. While negligence is a broader term, malpractice is a more specific term that applies to professionals.
C. Negligence is a legal term that refers to the failure to exercise the degree of care that a reasonable person would exercise in similar circumstances. In the context of nursing, negligence occurs when a nurse commits an act that a prudent nurse should not have done, or omits an act that a prudent nurse should have done, resulting in injury or harm to another person.
D. Neglect is a general term that can refer to the failure to provide for the needs of another person, such as a child or elderly adult. While negligence can involve neglect, it is a broader term that encompasses a wider range of behaviors.
Correct Answer is D
Explanation
A. While this information can be helpful in understanding the patient's social context, it does not directly contribute to the development of a plan of care.
B. This information is important for understanding the patient's medical history and identifying any potential risk factors. However, a baseline assessment of physical and cognitive functioning is also essential for developing a comprehensive plan of care.
C. This assessment can be helpful in evaluating the patient's cognitive function, but it does not provide a complete picture of their overall physical and functional status.
D. When caring for an older adult in the emergency department, it is crucial to have a baseline understanding of their physical and cognitive functioning. This information will help the nurse assess the patient's current condition and identify any significant changes that may require intervention.
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