L.W. is a nurse practitioner in an urban community. Many of her clients recently immigrated to the United States from various countries. She is challenged by the many different cultures she encounters

Case 2

 Cases

L.W. is a nurse practitioner in an
urban community. Many of her clients recently immigrated to the United States
from various countries. She is challenged by the many different cultures she encounters
and the different values and beliefs they hold toward Western medicine.

She is determined to earn her client’s
trust. She does this by providing healthcare services that are respectful of
each client’s health beliefs and practices and cultural needs. She knows she
must set aside her own values and beliefs to focus on what is important to
her clients in order for them to have successful outcomes.

Questions for the case

Give at least two examples of
emerging populations in the United States and describe their cultural
characteristics that might interfere with their healthcare.

Case 2

 Cases

P.Q. is a nurse practitioner in a
rural, agricultural community. The community is populated mostly by Hispanic
families that work in the fields. Many of the families are migrant workers.
They stay in their community during the planting and harvesting seasons and
then migrate back to Mexico or to other communities where they can find work.

Many of the families that he helps
are struggling to stay together. Many parents must leave their young children
behind in Mexico. Husbands and wives are separated frequently, putting
additional stress on the family system. As a child of migrant farm workers,
P.Q. understands their predicament first-hand and is able to assist the
families he serves with viable health promotion plans.

Questions for the case

P.Q. uses the following five
measures of family functioning to determine the effectiveness of
interventions:

·       
changes
in interaction patterns

·       
effective
communication

·       
ability
to express emotions

·       
responsiveness
to the needs of members as individuals

·       
problem-solving
ability

Define each one and give clinical
examples.

Case 2

 Cases

C.B. is a student nurse practitioner
completing her practicum in an office practice She assists the community with
blood pressure and immunization clinics. The primary roles in this setting
are education and health prevention.

C.B. has completed a population
assessment and determined that the community is lacking in organized physical
activities. The community that she is working in has a diverse age group
between 56 and 87 years of age, with the majority of the residents being
between 70 and 74 years of age. The members of the community are active in
the health screenings and clinics and enjoy including the nursing staff in
their activities.

Questions for the case

Which are the recommendations
according to the Centers for Disease Control and Prevention for older adults
regarding type, quantity and quality of exercise per week?

Case 2

 Cases

M.T. is a nurse practitioner in a
busy OBGYN clinic. Her clients include women from various socioeconomic and
cultural backgrounds. M.T. spends her time educating women about
interventions for a healthy pregnancy.

She promotes the physical, mental,
and spiritual health of her clients throughout the childbearing years.
Although she primarily works with pregnant woman, her ultimate goal is to
assist each family to have a healthy pregnancy and birth outcome and lay the
foundation for satisfactory parenting and family life.

Questions for the case

M.T. participates in community
health fairs educating childbearing-age women about healthy lifestyles that
can improve chances for a healthy pregnancy. Women should be made aware that
certain preconception interventions may improve not only the outcomes of
pregnancy but their overall health as well. Design a plan that fits the needs
for the health fair that M.T. is participating. List the recommendations and
the rationales.

Case 2

 Cases

E.J. is a nurse in an elementary
school setting. Health promotion at the school-age level is a critical time
when behaviors can be influenced before unhealthful patterns have become the
standard. Healthy behaviors are taught and modeled by the nurse as well as
the teachers in the school.

She has a diverse set of roles. She
provides direct care to ill or injured students when needed. She also
coordinates vision and hearing screenings, tracks immunization compliance,
provides referrals, and participates in the care and planning of special
needs students. She is aware that she has high rates of students with asthma
and allergies, so she monitors the air quality index in her community.

Questions for the case

The prevention of overweight and
obesity is critically important during the school-age years. Which educational
interventions as a Nurse practitioner you should give to your school-age
patients?

Case 2

 Cases

K.Y. is an employee-health nurse
practitioner for a large corporation. Her role is to advocate for her clients
by helping them improve their quality of life, both for the present and the
future, through the identification of risk factors, health promotion, and
other nursing interventions. The majority of the employees She sees are middle-aged
adults.

Her clients come to see her for a
variety of reasons, including stress, mental illness, and on-the-job
injuries. K.Y. assists her clients by providing education about healthy
lifestyle choices, referrals to community resources, and counseling.

Questions for the case

Make a summary of the typical
biological changes in the middle-aged adult.