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. One of his parents attempts to stay with him all of the time. 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 during her assessment and is uncertain about the sons involvement. Initial Discussion Post: Using the scenario above create a discussion post in response to the following: 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? Explain your answer. What strategies may the RN use to provide culturally sensitive nursing care that reflects the patient/family health- illness beliefs and healthcare practices? Name and explain which defense mechanism each family member may be using to cope with the stress described in the scenario. What symptoms of anxiety or fear might the RN, expect to assess and be prepared to address? Discuss how the RN knows therapeutic relationships have been established (i.e., what evaluation criteria are used to make this decision). Note: Please use Pillitteri,adele 2013 maternal and child health nursing 7th. Treas. L. Wilkinson 2014 basic nursing. and any nursing diagnosis guidebook. Thank you in advance
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