Purpose

This week’s graded topics relate to the following Course Outcomes (COs).

• CO 1 – Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
• CO 2 – Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1)
• CO 3 – Utilize effective communication when performing a health assessment. (PO 3)

Discussion

This week you have your choice of three discussion topics! Select the one that most interests you and answer the corresponding questions completely.

Remember to reference both the book or lesson, and an outside scholarly source.

Option #1:

You are the nurse assessing an Orthodox Jewish client with peptic ulcer. The client is strictly religious and refuses to eat the food provided at the health care facility.

1. Describe how you would further assess and provide care for this client.
2. What steps could you take to increase your cultural competence, if you were not familiar with this faith?

Option #2:

You are the nurse caring for a client with Crohn’s disease. The client believes he is being punished by God. The client is spiritually distressed and cannot come to terms with the illness.

1. How would you respond to this client?
2. What are some identified risk factors for spiritual distress, and recommended interventions?

Option #3:

Describe a time in your clinical nursing practice when you have cared for a client of cultural, religious, or spiritual practices different from your own.

1. What were some of the challenges you faced caring for this client?
2. What steps did you take (or could you have taken) to ensure the patient received culturally/spiritually competent care?

SOLUTION

Professor and Class,

I am a Christian. I once cared for a Muslim patient. The patient was a 62-year-old male with diabetes type 2. I was during Ramadhan and the patient had chosen to practice the religious practice about fasting. However, due to the all-day fasting and consumption of a large meal after sunset, the patient experienced a hyperglycemic attack which prompted to him being rushed to the emergency unit. Upon reviewing his medical history, I realized that the patient had been diagnosed with diabetes after having A1C levels of 8.1% two months before this. The patient’s records showed that the patient blood sugar had reduced to 6.8% due to adherence to medication and lifestyle changes. The patient thought that since his blood sugar levels had maintained a healthy curve, then it would not hurt to abide by his religious practices of fasting during Ramadan, which he did without seeking professional medical advice. Please click the purchase button to access the entire copy at $5