Caring for Cuban, Amish, & Irish Populations
After studying Module 7: Lecture Materials & Resources, discuss the following:
A. What are the differences that may affect Cuban-American patients who
immigrated at different times?
B. What can a nurse do to make life in the hospital more culture-specific for an
Amish client?
C. List at least two etiological reasons for the development of alcoholism within an
Irish-American family.
Submission Instructions:
• Your initial post should be at least 500 words, formatted, and cited in current
APA style with support from at least 2 academic sources. Your initial post is
worth 8 points.
• You should respond to at least two of your peers by extending, refuting/
correcting, or adding additional nuance to their posts. Your reply posts are worth
2 points (1 point per response.)
• Incorporate a minimum of 2 current (published within the last five years)
scholarly journal articles or primary legal sources (statutes, court opinions) within
your work. Journal articles should be referenced according to the current APA
style (the online library has an abbreviated version of the APA Manual).
Case Study: Jax
Purpose: Analyze and apply critical thinking skills in the psychopathology of mental
health patients and provide treatment and health promotion while applying
evidence-based research.
Submission Instructions:
• Your initial post should be at least 500 words, formatted and cited in current APA
style with support from at least 2 academic sources. Your initial post is worth 8
points.
• You should respond to at least two of your peers by extending, refuting/
correcting, or adding additional nuance to their posts. Your reply posts are worth
2 points (1 point per response.)
• All replies must be constructive and use literature where possible.
Scenario: Jax is a 66-year-old Caucasian female whose wife has encouraged her to
seek treatment. She has never been in therapy before, and has no history
of depression or anxiety. However, her alcohol use has recently been
getting in the way of her marriage, and interfering with her newly-retired
life. She describes drinking increasing amounts over the last year, currently
consuming approximately a six-pack of beer per day. She notes that this
amount “doesn’t give me the same buzz as it used to.” She denies ever
experiencing “the shakes” or any other withdrawal symptoms if she skips a
day of drinking.
Jax comments that her wife is her biggest motivation to decrease her
alcohol use. She tells Jax that she gets argumentative and irritable when
she drinks, though she does not always remember these incidents. She
has also fallen while intoxicated twice, causing bruises both times and
hitting her head on one of the occasions.
Question
s:
Remember to answer these questions from your textbooks and NP
guidelines. At all times, explain your answers.
1. Describe the presenting problems/issues. Is there any information
that was not provided that you would need to formulate a diagnosis?
2. Generate a primary and differential diagnosis using the DSM5 and
ICD 10 codes.
3. What physiological and psychological processes lead to substance
dependence?
