During the _________ process, previous work history and malpractice cases are reviewed.    Fill in the blank. 

The AGACNP is using a telephone interpreter to interview and assess a patient whom only speaks Russian. The AGACNP asks a question, then pauses and allows the interpreter to speak. After the patient answers the question, then interpreter then translates into English. The AGACNP continues to in this style to complete the admission H&P.    What type of interpretation is used in this situation? 

A 17 year old male presents to the urgent care with complaints of being stung by a wasp on the arm while cleaning out an old storage unit. The sting area is mildly erythematous without drainage and very mildly tender to touch. The patient complains “it just itches so bad”.  Vital signs: Pulse 66, BP 114/71, RR 16, O2 99% on room air, temp 97.9F   What is the most appropriate treatment plan? 

The female AGACNP is caring for an elderly man whom she just informed has a right lower lobe lung mass, found on a CT scan. The man is visually upset, so the female AGACNP rests a hand on his shoulder to offer comfort; however, the male patient now seems even more upset after the touch.    Which culture should the AGACNP remember to avoid touch when showing concern? 

When interviewing a patient who has tested positive for methamphetamine, which type of question(s) is most appropriate? 

In which culture is lack of eye contact a demonstration of respect? 

For a patient suffering from the psychomotor agitation related to MDMA intoxication, which medication and dose is recommended? 

The emergency department provider contacts the AGACNP to admit an 89 year old male with non-small cell lung cancer who now has a right lower and upper lobe pneumonia.  Vital signs: Pulse 105, BP 89/51, RR 22, O2 89% on 4L NC, Temp 101.4F   Which of the following would be most appropriate to ask about when interviewing this patient? 

A 35 year old male with known anxiety, depression, and poly-substance abuse presents to the emergency department after a friend found him on his cough and could barely wake him up. He reports he found vomit down the side of the couch.    Vitals: Pulse 75, BP 98/52, RR 35, O2 94% on 2L NC, Temp 99.9F   Labs: WBC 11K, H&H 17.9 & 41.2, Plt 179K. Na+ 132, K+ 2.9, glucose 71, anion gap 22, BUN 23, Cr 1.2, Mg+ 1.2.  Serum drug screen: + THC and tricyclic antidepressants acetaminophen:

When using an interpreter to discuss a poor prognosis with a patient, the matter and manner of the issue is whose responsibility?