A new nurse overhears two experienced nurses discussing how the organization has things to do with staffing and patients. One of the nurses states, “I don’t know how much more I can

take.” The new nurse does not become discouraged because the new nurse remembers which

principle?

A. The nurse manager will put an end to the conflict.

B. Change in healthcare is inevitable and unpredictable causing uncertainty.

C. Because of new electronic documentation systems, older nurses will complain.

D. These nurses have lateral incivility.

Compare and contrast the health beliefs (e.g., health practices, and coping behaviors) and/or mental health illnesses of “main-stream” American values and Korean culture in America

2/ Apply  Leninger’s Transcultural Nursing and the standards of care for psychiatric/mental health nursing. Discussion on how a nurse’s inability to implement culturally competent care can make a patient with a psychiatric disorder, from a Korean background, more at risk for ineffective and unsafe nursing care.

3/ Psychiatric/Mental Health Standard 4: Planning of Care

The psychiatric/mental health nurse will develop an individualized plan of care in partnership with the health care Korean consumer (i.e. patient/client), family, and others considering the healthcare Korean consumer’s characteristics … which may include but are not limited to values, beliefs, spiritual and health practices, preferences, choices, developmental level, coping styles, culture, and environment.  (ANA’s Psychiatric Mental Health Nursing: Scope and Standards of Practice).

Sally an 80-year woman, was recently diagnosed  Alzheimer’s disease. The family is asking you to explain what all of this means. Sally is started on Donepezil for treatment. They are frantic and visibly upset.

You will need to address the following questions:

1. How did this happen, how did she get Alzheimer’s?
2. What is the risk of her children getting it?
3. Will they be able to reverse and cure the disease process?
4. The daughter is a nurse and is asking you to explain the mechanism of action of how the medication works (MOA) and what is the therapeutic effects of the medication?
5. What kind of side effects she they anticipate?

10 year Johnny is diagnosed with Attention deficit hyperactivity disorder and started on Methylphenidate (Ritalin).

1. 1. Educate the family on administration considerations that will reduce the incidence of side effects of this medication.
   2. What are the primary side effects to consider with the administration of Ritalin?