T‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍his assignment will be graded on the content and required three entries (one original post and two posts to other student’s original post) of the discussion participation, adhering to the grading rubric (click the three dots on the upper right-hand side of this page). In order to receive full credit, you must include an APA work cited reference to literature, journals, readings, or personal experience to support comments. Also, when you respond to other postings, make sure you evolve the previous discussion and not just restate the initial post. Remember to address every topic in the discussion, provide a reference, and not be too vague. Prompt Case Study A psychiatric mental health nurse becomes concerned when he finds a Chinese client diagnosed with psychosis and a history of self-injurious behavior rubbing himself with a quarter (he thought he was trying to hurt himself). He took the coin away from the client and he became very upset, grabbed it back from him and continued to rub his arms and legs, leaving dark red scratches. The nurse called for a “show of support” and the staff took the coin away from the client. The client continued being upset, exhibiting verbally aggressive behavior toward the nurse and was placed in seclusion due to the verbally aggressive and self-injurious behavior. Questions: The nurse-manager reviews the documentation related to the seclusion episode. What action should she take to prevent this situation from re-occurring? Discuss the information in this case study related to application of Giger and Davidhizar’s Transcultural Assessment Model and the implications for nursing related to formulating a plan of care for this client. Case Study A Vietnamese girl in her first year at an American elemen‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍tary school, was not feeling well one morning, so her mother rubbed the back of her neck with a coin. When the girl’s teacher discovered the welts on the girl’s neck, he immediately assumed they were seeing a case of child abuse and reported it to the principal and school nurse. The nurse commented that the behavior of the mother could possibly be related to a “cultural practice”. The teacher insisted that this information be reported to the authorities immediately. The principal advised the nurse to call the authorities. Questions: What immediate action should the school nurse take related to this situation? What responsibility does she have related to promoting cultural competence? In each case the client was practicing a traditional form of healing known as coin rubbing. There are several variations, including heating the coin, but they all involve vigorously rubbing the body with a coin. This produces red welts, which can distract medical staff from the real problem or be mistaken for child abuse. It is important to recognize and become familiar with this practice, and not to be distracted from the real problem or mistakenly make accusations of child abuse. Asians rubbing their children with coins is not any more abuse than Americans having thin pieces of metal wrapped around their children’s teeth and tightened until their teeth move out of place. Braces are usually applied for merely aesthetic reasons. Coin rubbing, at least, is an attempt to heal. Apparently, it often works, only the failures show up in the medical system. References: Galanti, G. A. (1991). Caring for patients from different cultures. University of Pennsylvania Press. Spector, R. E. (1979). Cultural diversity in health and illness. Appleton-Century-Crof‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍ts. Due 11/27/21