Nokea
How should the nurse and the other members of the care team best respond?
- A. Explain to the son the teams ethical obligation to inform the patient.
- B. Refer the family to social work.
- C. Have a nurse or physician from the patients culture make contact with her and her son.
- D. Speak with the son to explore his rationale and attempt to reach a consensus.
Correct Answer: D
Rationale: Nurses must promote open dialogue and work with patients, families, physicians, and other health care providers to reach the culturally appropriate solution for the individual patient. A referral to social work is not a sufficient response and enlisting a caregiver from the same culture may not be ethical or effective.
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Which cultural group would most likely consider the direct eye contact impolite?
- A. African Americans
- B. Hispanics
- C. Canadians
- D. Native Americans
Correct Answer: D
Rationale: Eye contact is a culturally determined behavior. Although most nurses have been taught to maintain eye contact when speaking with patients, some people from certain cultural backgrounds may interpret this behavior differently. For example, some Asians, Native Americans, Indo-Chinese, Arabs, and Appalachians may consider direct eye contact impolite or aggressive, and they may avert their own eyes when talking with nurses and others whom they perceive to be in positions of authority.
What outcome should you prioritize when planning this education?
- A. Participants will acknowledge and adapt to diversity among their colleagues.
- B. Participants will develop insight into the characteristics of their own culture.
- C. Participants will provide equal care to all patients, regardless of their background.
- D. Participants will evaluate their colleagues levels of cultural awareness.
Correct Answer: A
Rationale: The concept of culturally competent care applies to health care institutions, which must develop culturally sensitive policies and provide a climate that fosters the provision of culturally competent care by nurses. Nurses must learn to acknowledge and adapt to diversity among their colleagues in the workplace. This is not necessarily dependent on nurses examining their own cultures. Because patients needs vary widely, care is not equal. Evaluating cultural awareness in others does not necessarily enhance ones own cultural competence.
What term would best describe this religions beliefs and their impact on health care for this child?
- A. Acculturation
- B. Cultural imposition
- C. Cultural taboo
- D. Cultural blindness
Correct Answer: C
Rationale: Cultural taboos are activities or behaviors that are avoided, forbidden, or prohibited by a particular cultural group. The other answers do not apply.
When providing care for a patient who belongs to a Hispanic culture, which of the following may be considered inappropriate in a health care setting?
- A. Grandmothers helping in the care of pediatric patients.
- B. Patients asking questions of health care providers.
- C. Health care information being given to a female member of the family.
- D. Males participating in health care activities.
Correct Answer: D
Rationale: The meaning people associate with touching is culturally determined to a great degree. In some cultures (e.g., Hispanic, Arab), male health care providers may be prohibited from touching or examining certain parts of the female body. Similarly, it may be inappropriate for females to care for males. In the Hispanic culture, grandmothers often care for pediatric patients; the female of the family is often held responsible for the familys health care and health care information. Males of the Hispanic culture generally do not participate in health care activities when a member of their family is ill.
What is the nurses best response to the patients indication that his care provider is a shaman?
- A. Thank you for providing the information about the shaman, but we will keep that information and approach separate from your current hospitalization.
- B. It seems that the care provided by your shaman is not adequately managing your hypertension and diabetes, so we will try researched medical approaches.
- C. Dont worry about insulting your shaman, as he will understand his approach to your hypertension and diabetes was not working after your doctor tells him how sick you were in the hospital.
- D. I understand that you value the care provided by the shaman, but we would like you to consider medications and dietary changes that may lower your blood pressure and blood sugar levels.
Correct Answer: D
Rationale: Native American patients may seek assistance from a shaman or medicine man or woman. The nurses best approach is not to disregard the patients belief in folk healers or try to undermine trust in the healers. Nurses should make an effort to accommodate the patients beliefs while also advocating the treatment proposed by health science.