Author Question: A nurse is working with a family from a different culture with which he or she is not familiar. The ... (Read 34 times)

DyllonKazuo · **on:** Jul 17, 2018

A nurse is working with a family from a different culture with which he or she is not familiar. The family insists on continuing health practices that the nurse is trying to get them to abandon.

This results in the nurse viewing the family as noncompliant, because they seem to understand the instructions. Which action by the nurse would be most helpful?
a. Ask the family to describe the importance of their beliefs.
b. Call an interpreter to make sure they really understand.
c. Determine whether instructions are available in their language.
d. Give the family both written and verbal instructions.

Question 2

In evaluating the success of a clinical nurse leader (CNL) program, a nursing dean would determine that program goals had been met when graduates were able to successfully (Select all that apply.)

a. demonstrate leadership in hospital nursing departments.
b. function effectively in an advanced specialty nursing role.
c. oversee care coordination of a distinct group of patients.
d. provide direct patient care in complex situations.
e. supervise ancillary and adjunctive nursing staff members.

Pariscourtney · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

A
According to Leininger, if the nurse understands the cultural values and beliefs that underpin these behaviors, he or she might be able to engage in culture care preservation, which includes professional decisions and actions that help people retain their indigenous care values.
Calling an interpreter would be important, especially if the patient's family's English proficiency is in question, but this would not be as effective as designing interventions and teaching around the family's beliefs.
Giving the family both written and verbal instructions is also a helpful intervention, especially if instructions are available in their native language, but this would not be as effective as designing interventions and teaching around the family's beliefs.
Giving both written and verbal directions is important when teaching, but it does not address cultural diversity.

Answer to Question 2

C, D
One of the two major roles of the CNL is to oversee the care coordination of a distinct group of patients.
The other major role of the CNL is to provide direct patient care in complex situations.
CNLs design and implement care and are accountable for care outcomes, but they do not necessarily serve in departmental leadership positions.
CNLs are considered generalists, not specialists.
The CNL role is not designed as a direct supervisory role, such as a charge nurse.