The nurse is caring for an Asian-American client with a diagnosis of depression. While interviewing this client the nurse notes that the client maintains traditional cultural beliefs and values. What is the most important information for the nurse to obtain about the client?a. Dietary practicesb. Concept of spacec. Immigration statusd. Role within the family

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1. The nurse is caring for an Asian-American client with a diagnosis of depression. While interviewing this client the nurse notes that the client maintains traditional cultural beliefs and values. What is the most important information for the nurse to obtain about the client?

a. Dietary practices

b. Concept of space

c. Immigration status

d. Role within the family

D!

It is recommended that infants be given the MMR combination vaccine at 12 to 15 months of age. The first dose of HepB vaccine is given at birth, the second 4 weeks later, and the third 24 weeks after the second dose. The inactivated poliovirus vaccine (IPV) is given at 2 months, 4 months, and 6 to 18 months of age; the next booster (fourth) is given at 4 to 6 years of age. Tetanus toxoid is given at 2 months, 4 months, and 6 to 18 months of age; the next booster (fourth) is given at 4 to 6 years of age.
D!

Adolescence is a period of psychological, social, and maturational growth. There are subphases of adolescence. Middle adolescence occurs between the ages of 15 and 17. Prepubescence occurs 2 years before the onset of puberty. However, this patient has already achieved puberty and had her first menstrual flow. Postpubescence extends for 1 to 2 years after puberty. The patient has recently had her first menstrual flow and is at the point of puberty. Late adolescence occurs between the ages of 18 and 20.
D!

If an Asian-American client tells the nurse that she adheres to traditional Asian practices, the nurse must recognize that the family is the central and most important social force acting on the individual. Dietary practices, concept of space, and immigration status are not as significant as family dynamics.
A!

Constant exposure to moisture (urine) and prolonged pressure that compresses capillary beds place a client at high risk for pressure ulcers. Although periodic exposure to moisture and occasional friction are risk factors for pressure ulcers, they do not place a client at highest risk. Although immobility places a client at risk for pressure ulcers, tube feedings should meet the client's nutritional needs and promote tissue integrity. Although being chair-bound increases a client's risk for pressure ulcers, adequate nutritional intake supports tissue integrity. If the client has upper body strength, weight can be shifted periodically to relieve pressure.

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All trademarks, logos and brand names are the property of their respective owners. All company, product and service names used in this website are for identification purposes only. Use of these names, trademarks and brands does not imply endorsement.

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