Discussion Week 2 _ NURS 6512

Instructions:

Respond

to

your colleague

who we

re assigned a different patient than you. Critique your colleague’s targeted

questions and

explain how the patient might interpret these questions. Explain whether any of the questions

would apply to your patient, and why

.

**minimum of three

(3)

scholarly references are required for each

reply

cited

within the body of the reply & at the end

**

Reply

#

1

Amarachi

Okafor

Case

Study

Scenari

o

MR,

A

23

-

year

-

old

Native

American

male

comes

in

to

see

you

because

he

has

been

having

anxiety

and

wants

something

to

help

him.

He

has

been

smoking

"pot"

and

says

he

drinks

to

help

himself

too.

He

tells

you

he

is

afraid

that

he

will

not

get

into

heaven

if

he

con

tinues

in

this

lifestyle.

He

is

not

taking

any

prescriptions

medications

and

denies

drug

use.

He

has

a

positive

family

history

of

diabetes,

hypertension,

and

alcoholism

.

Cultural

competency

is

vital

in

order

to

provide

the

best

possible

care

for

our

patien

ts.

Cultural

competency

is

defined

as

the

integration

and

transformation

of

knowledge

about

individuals

and

groups

of

people

into

specific

standards,

policies,

practices,

and

attitudes

used

in

cultural

settings

to

increase

the

quality

of

the

service

and

ge

neral

outcome

(Centers

of

Disease

Control

&

Prevention,

2020).

Cultural

competency

is

a

component

that

is

used

throughout

every

interaction

with

a

patient

.

In

this

case

study

the

patient

comes

from

a

Native

American

background.

The

patient

also

has

a

spiri

tual

belief

in

heaven

and

smokes

and

drinks

to

himself

as

part

of

his

regular

lifestyle.

This

patient

has

a

family

history

of

diabetes,

hypertension,

and

alcoholism

which

are

factors

that

are

important

since

this

individual

does

smoke

and

drink

regularly.

This

patient

does

not

currently

take

any

prescription

medications

which

can

be

concluded

that

this

patient

is

fairly

healthy

.

Native

American

Indians

have

a

high

rate

of

acquiring

Type

1

Diabetes

and

with

this

patients’

family

history

of

Diabetes,

this

is

an

issue

that

needs

to

be

addressed

with

the

patient

since

he

is

using

alcohol

to

help

with

anxiety

and

also

smokes

(Nahian,

2021).

Extreme

levels

of

stress

and

anxiety

can

also

raise

the

patients’

blood

pressure

and

with

the

history

of

hypertension

that

w

ould

need

to

be

managed

early

on.

As

a

provider,

you

would

also

want

to

be

sensitive

to

the

patients’

religious

beliefs

and

references

not

impeding

your

own

beliefs

into

the

care

.

Five

targeted

questions

include

:

·

How

often

do

you

smoke

and

drink

?

·

How

do

yo

u

feel

after

smoking

and

drinking

?

·

Have

you

ever

been

open

to

limiting

the

amount

you

smoke

and

drink

?

·

What

is

your

daily/weekly

activity

level

?

·

Have

there

been

any

major

changes

in

your

life

?

Reference

s

Ball,

J.W.,

Dains,

J.

E.,

Flynn.,

Solomon,

B.

S.,

&

Stewart,

R.

W.

(2019).

Seidel’s

guide

to

physical

examination:

An

interprofessional

approach

(

9

th

ed.).

St,

Louis,

MO:

Elsevier

Mosby

.

Centers

for

Disease

Control

and

Prevention.

(2020,

October

21).

Cultural

competence

in

health

and

human

services.

Retrieved

September

7,

2021

from

https://npin.cdc.gov/pages/cultural

-

competenc

e

Instructions:

Respond to your colleague who were assigned a different patient than you. Critique your colleague’s targeted

questions and explain how the patient might interpret these questions. Explain whether any of the questions

would apply to your patient, and why.

**minimum of three (3) scholarly references are required for each reply cited

within the body of the reply & at the end**

Reply # 1

Amarachi Okafor

Case Study Scenario

MR, A 23-year-old Native American male comes in to see you because he has been having anxiety and

wants something to help him. He has been smoking "pot" and says he drinks to help himself too. He tells

you he is afraid that he will not get into heaven if he continues in this lifestyle. He is not taking any

prescriptions medications and denies drug use. He has a positive family history of diabetes, hypertension,

and alcoholism.

Cultural competency is vital in order to provide the best possible care for our patients. Cultural competency is

defined as the integration and transformation of knowledge about individuals and groups of people into specific

standards, policies, practices, and attitudes used in cultural settings to increase the quality of the service and

general outcome (Centers of Disease Control & Prevention, 2020). Cultural competency is a component that is

used throughout every interaction with a patient.

In this case study the patient comes from a Native American background. The patient also has a spiritual belief

in heaven and smokes and drinks to himself as part of his regular lifestyle. This patient has a family history of

diabetes, hypertension, and alcoholism which are factors that are important since this individual does smoke and

drink regularly. This patient does not currently take any prescription medications which can be concluded that

this patient is fairly healthy.

Native American Indians have a high rate of acquiring Type 1 Diabetes and with this patients’ family history of

Diabetes, this is an issue that needs to be addressed with the patient since he is using alcohol to help with

anxiety and also smokes (Nahian, 2021). Extreme levels of stress and anxiety can also raise the patients’ blood

pressure and with the history of hypertension that would need to be managed early on. As a provider, you would

also want to be sensitive to the patients’ religious beliefs and references not impeding your own beliefs into the

care.

Five targeted questions include:

 How often do you smoke and drink?

 How do you feel after smoking and drinking?

 Have you ever been open to limiting the amount you smoke and drink?

 What is your daily/weekly activity level?

 Have there been any major changes in your life?

References

Ball, J.W., Dains, J. E., Flynn., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical

examination: An interprofessional approach (9

th

ed.). St, Louis, MO: Elsevier Mosby.

Centers for Disease Control and Prevention. (2020, October 21). Cultural competence in health and human

services. Retrieved September 7, 2021 from https://npin.cdc.gov/pages/cultural-competence