Author Question: A female patient from an unfamiliar culture is in the emergency department and needs an emergency ... (Read 112 times)

notis · **on:** Jul 22, 2018

A female patient from an unfamiliar culture is in the emergency department and needs an emergency operation. She wishes to wait for a tribal elder to arrive before making a decision about the operation. The best action by the nurse is to

a. ask the patient's husband if he is willing to consent for the operation.
b. explain that only the patient may make health care decisions for herself.
c. prepare the patient for surgery under the doctrine of implied consent.
d. wait for the tribal elder to arrive and then obtain informed consent.

Question 2

The nurse studying the image of nursing in society would conclude that (Select all that apply.)

a. gender roles still strongly drive nursing image and perception.
b. portrayal in the popular media affects nursing's image.
c. racial and ethnic stereotypes drive viewpoints of caregiving.
d. society's view of nursing helps to create media images.
e. the status of women strongly influences societal perceptions.

amit · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
The nurse who is providing culturally competent care recognizes that the patient has the right to include whomever she wants in the decision-making process and will wait. In some cultures, the individual's desires are secondary to family or group wishes.
The culturally competent nurse would not breach a patient's trust and ask someone whom the patient has not specifically designated to make this decision.
Culturally competent nurses realize they may need to expand their definitions of autonomy and family in order to facilitate decision making.
Preparing the patient for surgery before she chooses to go through with the operation would be paternalistic and disrespectful of the patient's right to wait to make a decision.

Answer to Question 2

A, B, D, E
Men in nursing face stereotypes such as being not a man and doing women's work.
Works that portray nurses as sex kittens or sadistic influence how the public views nursing.
Media portrayals are in turn influenced by popular belief.
Society's views of women have shifted as women have had more opportunities in politics and in the work world. This has impacted the view of nursing.
Racial and ethnic stereotypes may have some impact on nursing's image, but they do not have the impact that popular culture and gender stereotypes have.