Mr. Bernhard Wolfgang, a 56-year-old German immigrant who works as an engineer,

Question

Mr. Bernhard Wolfgang, a 56-year-old German immigrant who works as an engineer, is admitted with chest pain and shortness of breath. Mr. Wolfgang is admitted to the coronary care unit to rule out myocardial infarction. Immediately after admission, Mr. Wolfgang's wife comes to the coronary care unit with personal items such as family portraits, some roses from the client's garden, and some personal clothing. However, since the coronary care unit is restricted in space, personal items are not allowed and the wife is instructed to take the items home. On admission, Mr. Wolfgang's vital signs are stable and his color is good. He reports that the chest pain is not debilitating and is more or less an occasional dull ache. After 2 days, the diagnosis of myocardial infarction is confirmed, and Mr. Wolfgang remains restricted to bed but is transferred to a semiprivate room in the coronary care step-down unit. After admission to the coronary care step-down unit, the nurse observes that Mr. Wolfgang is anxious, somewhat withdrawn, and unable to express his needs and feelings.

6. List two factors related to perceptual and visual stimuli that adversely affect some German clients.

Explanation / Answer

Answer:

Autonomy by which a person controls what happens, in personal territory a person may feel free to ask questions, hold out to things that are important personally, but the hospital people did not allow his personal belongings. So he is lacking personal teriitory. So it is important for the nurse to check if the patient has an understanding of the treatment regiem. The nurse has to understand that German people needs more personal care as per their culture.

Virtual arrangement of the room is very important for German clients, if it is arranged in familiar manner then the patient feels like home and fells better.

Emblems: Nonverbal actions of nurses are also very important.
Affect displays are also important for patients how nurses are giving facial expression giving speech are important about how patients react and controls thir anxiety. So his his family protraits roses should be kept in his room to make him feel better. If he is unable to express his problems it will take longer time for him to get cured.

It is important for the nurse to recognise perpetual differences at the same time be able to translate for one perpetual world to other. Culture play important role in perpetual differences, so Germans have a different perpetual world whioch has be understood well before treating him.

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