Question

A male nurse enters the patient’s room at 7:00 am, speaking in a loud voice and opening all shades to let in sunlight. In a report, the nurse was informed that the patient is of Hispanic descent and that the man has been very quiet, refusing to speak with the staff. The nurse believes the sunlight and loud tone will get the patient’s attention and make him open up and talk to the staff. He sits on the edge of the bed, looks directly in the patient’s eyes, and begins to ask personal questions about the man’s family. The nurse believes this questioning will help the man relax around him, because he has taken an interest in the patient’s personal life.

1. Identify the clinical problems.
2. What information should the nurse have taken into account before entering the patient’s room for the first time?
3. As the nurse returns to the patient’s room later that morning, the patient starts yelling loudly at him. Explain why you feel the patient has reacted this way. What response should the nurse have in this situation?

Answer 1

Before enter into the patient room we must know about the patient's health condition and cultural variations. It is very important to identify the cultural and difference in values of patient.

Ask other health professionals about the patient's knowledge level. They may had difficult in understanding the language. So we should know about the language level and if can please try to wish them in spanish or any other languages of they know this will helpful in maintaining a rapport with patient. Open the windows and the room should have adequate light.

If the patient talk to you loud don't restrict them but we try to speak in a low voice this will help to reduce the loud voice of patient. After good rapport is built then we should explain the patient about the hospital environment.