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How can the dimensions of diversity, such as age, race, ethnicity, gender, sexual orientation, and religion affect individual or collective healthcare needs and capabilities?

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Nursing homework help
Women and Healthcare
Women have healthcare requirements in addition to those of men because of their biology and gender roles. Due to their gender roles, they are frequently responsible for the health and healthcare of others. The resources they need to care for others may create constraints on their ability to care for themselves.
Also, it is important to consider the workplace when considering women’s health issues because the position of women in the workforce has great impact on the healthcare they receive. Many businesses have recognized the need to create a more diverse workforce by selective hiring based on the need to increase selected groups in their workforce. Some businesses have been more proactive than others. For example, let’s consider that a business workforce’s diversity plan includes the following benchmarks:

  • Maintain women’s representation at a minimum of 60 percent.
  • Increase women’s representation in nontraditional occupations from 16 percent to 20 percent.
  • Increase women’s representation in senior positions (grade twelve and above or equivalent) from 28 percent to 35 percent.

On the basis of what you have learned so far, answer the following questions:
 

  • How can the dimensions of diversity, such as age, race, ethnicity, gender, sexual orientation, and religion affect individual or collective healthcare needs and capabilities?
  • Could the above statements constitute discriminatory hiring practices? Why or why not?
  • What would the implications of diversity-based policy development be in relation to healthcare needs?
  • Describe a workforce diversity plan using at least three dimensions of diversity. Additionally, explain how it relates to improved health-service delivery.

Identify the levels of prevention of mental illness.

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CHAPTER 19, Inpatient Care Settings
In completing the case study, students will be addressing the following learning objectives:
Define the various levels of care within inpatient treatment settings.
Explain elements and methods of fostering a therapeutic milieu.
1. Robert Woods has been admitted to an inpatient psychiatric facility due to a resurgence of his manic symptoms because he has not been taking his psychiatric medications. His sister has been trying to supervise Robert, who lives in a small apartment a few miles away. The sister is very frustrated and feels she cannot continue to monitor Robert successfully any longer. She asks what kinds of inpatient care options are available to assist in caring for Robert and voices concern about Robert’s noncompliance with his psychiatric medications.
(Learning Objectives: 1, 4)
a. Review the levels of inpatient care and offer some suggestions to Robert’s sister concerning ongoing psychiatric care.
b. The nurse is responsible for medication administration for Robert. How can a therapeutic environment and strategies assist the nurse in ensuring that Robert takes his psychiatric medications?
Case Study, Mohr
CHAPTER 20, Community and Home Psychiatric Care
In completing the case study, students will be addressing the following learning objectives:
Identify the levels of prevention of mental illness.
Describe potential interventions for primary, secondary, and tertiary prevention of mental health problems.
1. Jim is a 10-year-old student in elementary school.  The teacher is concerned that Jim may need psychological counseling and possibly psychiatric care since the recent suicide of his father.  Jim had formerly been an outgoing child who had excellence performance in schoolwork.  Jim is now withdrawn, does not socialize, and is doing poor work in school.  Jim’s mother has not responded to a call from the teacher to come to school for a conference to explore ways to help Jim. The teacher consults the school nurse for assistance.
(Learning Objectives: 1, 2)

  • Identify how the school nurse can help Jim and his family in the prevention of mental illness. Discuss each level of prevention in your answer.

Describe the procedure for ECT, its indications, and its potential side effects.

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CHAPTER 17, Integrative Therapies
In completing the case study, students will be addressing the following learning objective:
Construct a list of complementary and alternative therapies used to treat specific psychiatric–mental health conditions.

  • Marjorie Alin has been diagnosed with major depression and has recently been placed on antidepressants. Marjorie uses herbal medication and has always been interested in complementary and alternative medicine (CAM). She asks the nurse practitioner what CAM therapies might be effective for depression.

(Learning Objective: 4)
a. Develop an educational handout for Ms. Alin listing the CAM therapies that might be helpful with the treatment of depression and providing a description of how the therapy might be beneficial.
b. What CAM therapy might be harmful for an individual with depression being treated with antidepressants? Why?
Case Study, Mohr
CHAPTER 18, Somatic Therapies
In completing the case study, students will be addressing the following learning objectives:
Identify the nurse’s role in caring for people undergoing electroconvulsive therapy (ECT) and their families.
Describe the procedure for ECT, its indications, and its potential side effects.
1.  Julie Abrams, a married 45-year-old African American client, is admitted to the hospital for severe depression.  Although Julie is taking her antidepressant medication, she seldom leaves her bed, sleeps most of the time, and has refused to eat for 6 days.  Her psychiatrist has decided that ECT treatments are necessary to improve Julie’s depression.  Mr. Abrams, Julie’s husband, is alarmed to learn that Julie will receive ECT. The psychiatric nurse practitioner explains the ECT procedure and treatment that Julie will receive. Mr. Abrams asked the nurse practitioner what ECT is, how it will help Julie, and if there will be any harmful effects for her.
(Learning Objectives: 2, 3)
a. What information will you provide to Mr. Abrams concerning ECT, how it works, and any adverse effects?
b. Prioritize the nursing care responsibilities for Julie.

Describe the family as a system adapting to change.

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CHAPTER 15, Families and Family Interventions
In completing the case study, students will be addressing the following learning objective:
Describe the family as a system adapting to change.
1. Wanda, a 17-year-old high school senior, has been rejected by a boy in her chemistry class whom she wanted to date for the senior prom.  Wanda became severely depressed and attempted suicide with an overdose of barbiturates.  Wanda’s mother found her unconscious and called an emergency ambulance to take her to the emergency department at the local hospital.  After Wanda’s recovery, she was in individual counseling, and the psychiatrist referred all family members for counseling.   Naomi, her younger sister, refused to go, saying that she did not have a problem and that Wanda was the one who had tried to commit suicide.  Her older brother, Matthew, had a similar response and added that Wanda had embarrassed the family.  Wanda’s parents stated that they would attend and urged both Naomi and Matthew to attend family counseling.
(Learning Objective: 1)

  • Wanda’s family must reorganize to survive the disturbance created by the suicide attempt. Describe the family as a system adapting to change.

Case Study, Mohr
CHAPTER 16, Psychopharmacology
In completing the case study, students will be addressing the following learning objective:
Discuss the therapeutic indication, mechanism of action, recommended dosage, routes of administration, side effects, potential adverse effects, contraindications, and nursing implications for major psychotropic medications.
1. The student was reviewing the medication record for a client diagnosed with major depressive disorder with psychotic features. The client has been on medications for the past 12 years, has exhibited many side effects, and experienced multiple medication changes. On this admission, the client has developed abnormal movements of the tongue, a masklike face, shuffling gait, and constipation. The client is taking a selective serotonin reuptake inhibitor (SSRI) and an antipsychotic.
(Learning Objective: 6)
a. Identify the medication classification that may be responsible for the side effects and explain your choice.
b. Discuss the most important nursing implication related to the side effects the client is experiencing.
c. Explain why psychiatric clients experience multiple side effects and often need medication changes.