Explain a potential barrier to therapeutic communication with Jane, based on her history and background.Therapeutic Communication – The graduate demonstrates therapeutic communication skills necessary to promote patient safety and positive patient outcomes.


726.1.2: Therapeutic Communication – The graduate demonstrates therapeutic communication skills necessary to promote patient safety and positive patient outcomes.
726.1.3: Basic Principles of Safety & Quality – The graduate plans a safe care environment to promote safety and quality care for patients, the providers, the immediate environment, and the community.
726.1.4: Cultural Awareness – The graduate creates patient care plans that demonstrate awareness of and sensitivity and respect for cultural differences, beliefs, and values.
726.1.5: Theories of Growth & Development across the Life Span – The graduate uses the nursing process to plan patient care that incorporates the theories of human growth and development into the care process.
726.1.6: Health Perception/Health Management – The graduate determines the impact of the health perceptions of individuals and communities on the promotion of health and health management strategies.


The nursing process is used as a problem-solving framework to plan and provide safe, patient-centered care to patients and their families. The incorporation of therapeutic communication, growth and development and cultural concepts in the planning and provision of care promotes patient safety and ensures quality care.


Jane Vuong is a 24-year-old single Vietnamese woman living in the United States on an academic visa. She has been attending the local university for two years, studying cellular biology as an undergraduate. She comes from an affluent Vietnamese family. Her parents are paying for her education. They want her to come back to Vietnam with her doctorate and take over the research lab owned by her uncle. Jane is a straight-A student who spends much of her time studying. She makes extra money by working part-time in the molecular biology laboratory in the university campus research center. She takes the subway or rides her bicycle to get around.

Jane enjoys working out doing Quan Khi Dao at the local martial arts school. One day while working out, she feels a severe tightness in her chest and says she is having difficulty breathing. Susan, a regular attendee in the class, brings Jane to the emergency department where you work. You note that Jane is having trouble speaking, appears anxious, and her lips are dusky. You are able to hear a wheezing sound when she breathes. She denies a history of asthma but says that she has some allergies which she generally treats with herbs. Susan takes you aside and tells you that she has noticed over the past month that Jane has seemed out of breath after taking the stairs up to the martial arts studio and that she no longer rides her bike to the studio.

Because of the severity of Jane’s symptoms, the doctor decides to admit Jane for evaluation and observation. The physician orders supplemental oxygen, a chest X-ray, blood tests, and a regular diet. Jane’s anticipated stay is two days.

Once on supplemental oxygen, she is better able to communicate, and you begin to do a general assessment and take a history. Here are some of your findings:

Diet: Jane states that she is proud that she only eats a t




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