Scenario: The RN is caring for a group of patients with two individuals who pres

Question

Scenario: The RN is caring for a group of patients with two individuals who present a challenge in developing a therapeutic relationship. One is a 15-year-old male who experienced a head injury after being thrown from the back of an all-terrain vehicle (ATV). The patient was placed on a ventilator. On the third day of hospitalization he begins to be more responsive, opening his eyes on request and following the movement of people in the room. The other patient is an elderly woman who does not speak English as her primary language. She had just received a diagnosis where she will need to make serious decisions about her care. Her adult son wants to be her interpreter. There are some very personal questions the RN will need to ask and is uncertain about the son’s involvement.

Describe how the RN establishes a caring, therapeutic relationship with these patients.

Can the RN approach these situations in the same manner as with patients who are awake, alert, and speak the same language?

What strategies may the RN use to provide culturally sensitive nursing care that reflects the patient/family health- illness beliefs and healthcare practices?

Discuss how the RN knows when therapeutic relationships are established (i.e., what evaluation criteria are met).

Explanation / Answer

1. In the first case the RN should be able to comprehend, establish care and meet the requirement of patient by monitoring the eye sight movement. RN should also be able to communicate and maintain therapeutic relationship by syncing and establishing conveying eye contact with the patient.

In the second case RN should gather a much of known information regarding previous medical history of the patient. Then be to convey and establish therapeutic relationship by communicating with the patient using virtual or symbolic language. RN should also be able to develop confidence in the thoughts of patient regarding the success of her therapy.

2. RN should take utmost care while communicating and might use any visual or language assistance for conveying any information to such patients compared to patients who are awake, alert, and speak the same language.

3. Some of the strategies which RN might use to provide culturally sensitive nursing care to reflect patient family health- illness beliefs and healthcare practices are:

4. RN can know when therapeutic relationships are established by:

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