A nurse is preparing to discharge a patient who has sickle cell anemia following an acute crisis episode.
Which instructions should the nurse include in the teaching?

Choice A rationale

The task of recording strict nutritional content is within the scope of practice for an assistive personnel (AP). The AP can keep track of the client’s food and fluid intake and report this information to the nurse. This is important in this case as the client has not been eating and the provider has prescribed a regular tray with finger foods at each meal. The nurse can then use this information to assess the client’s nutritional status and make necessary adjustments to the care plan.

Choice B rationale

Administering medication, such as memantine, is not within the scope of practice for an AP. This task requires knowledge and skills related to pharmacology, assessment, and evaluation that are beyond the training of an AP. Therefore, this task should be performed by a licensed nurse.

Choice C rationale

Performing neurological checks is also not within the scope of practice for an AP. These checks involve assessing the client’s level of consciousness, orientation, and neurological function, which require advanced assessment skills. Therefore, this task should be performed by a licensed nurse.

Choice D rationale

Continuing the bowel training program could potentially be within the scope of practice for an AP, depending on the specific tasks involved. However, in this case, the family member has reported that the client is having more difficulty staying focused, which suggests that the bowel training program may need to be adjusted. This requires nursing judgment and therefore should be performed by a licensed nurse.

Choice A rationale

If a client is comfortable with the care they receive, they are indeed more likely to continue to seek treatment. Cultural competence in healthcare can help ensure that all patients, including those from underrepresented cultures, feel comfortable and understood. This can lead to increased patient engagement and better health outcomes.

Choice B rationale

While it’s true that without culturally competent care, a client might face financial barriers to treatment, it’s not a direct benefit of culturally competent care. The main benefits of culturally competent care are improved patient satisfaction, better health outcomes, and increased patient safety.

Choice C rationale

While receiving culturally competent care can have many benefits, reducing the chance that the client will need psychotropic medications is not directly related to cultural competence. The need for such medications is determined by a client’s specific health needs.

Choice D rationale

Providing culturally competent care can indeed help reduce a client’s fear of risking relationships and jobs by seeking care. By respecting and understanding a client’s cultural background, healthcare providers can help alleviate fears and misconceptions about seeking care. PregnancyPregnancy Explore