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Questions Question 1 Mrs. Soo Lee, 80 years old, widowed, lives with her daughter, son-in-law, and two grandchildren. Her daughter and son-in-law work full-time outside of the home. The two grandchildren attend university full-time. Mrs. Soo Lee has been recently diagnosed with early stage Alzheimer's disease. She speaks English but has been using Mandarin more and more in all her communications in the last 3 months. A non-Mandarin speaking nurse has been assigned to assess how Mrs. Soo Lee and her family are coping with this situation. How should the nurse initially collect data about Mrs. Soo Lee's situation? 1) Ask Mrs. Soo Lee and her daughter to describe changes Mrs. Soo Lee may have recently experienced. Rationale: Basic therapeutic communication requires the establishment of a respectful relationship with the client in order to obtain assessment data. 2) Ask Mrs. Soo Lee's daughter to translate the nurse's questions and Mrs. Lee's answers. 1 Rationale: Approaching the daughter first assumes the mother is incapable of communicating and establishing a relationship. 3) Interview Mrs. Soo Lee's family members to explore their perceptions of the situation over the past few months. Rationale: Involving all the members of the family would be excessively confusing for the client with Alzheimer's. 4) Have Mrs. Soo Lee's daughter describe the changes she has seen in her mother. Rationale: Having the daughter describe the changes observed in Mrs. Lee may be valid but would not be the first step. References: Ignatavicius, D. D. & Workman, M. L. (2006). Medical-surgical nursing: Critical thinking for collaborative care (5th ed.) St. Louis, Missouri: Elsevier Saunders, p. 965-967. Black, J. M. & Hawks, J. H. (2005). Medical-surgical nursing: Clinical management for positive outcomes (7th ed.) St. Louis, Missouri: Elsevier Saunders, p. 2167.

Question 2 Mrs. Soo Lee, 80 years old, widowed, lives with her daughter, son-in-law, and two grandchildren. Her daughter and son-in-law work full-time outside of the home. The two grandchildren attend university full-time. Mrs. Soo Lee has been recently diagnosed with early stage Alzheimer's disease. She speaks English but has been using Mandarin more and more in all her communications in the last 3 months. A non-Mandarin speaking nurse has been assigned to assess how Mrs. Soo Lee and her family are coping with this situation.

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