A home health nurse's patient caseload is ethnically diverse. ...

[jman1234]

A home health nurse's patient caseload is ethnically diverse. Which interventions show understanding of cultural variables?
 
  1. Discussing cultural preferences for herbs and spices and possible alternatives when drug interactions are possible
  2. Assessing the patient's response to acupuncture for pain
  3. Discussing the patient's beliefs regarding treatment
  4. Notifying the health care provider of the patient's intentions to consult with a medicine man for spiritual guidance
  5. Removing the patient's collection of herbs to decrease the risk of an adverse effect when taken with Western medicine

Question 2

The nurse in the emergency department is caring for several patients from diverse cultures. Which statement shows the nurse's ability to provide culturally competent care?
 
  1. I understand your religion prohibits blood transfusions. Would you consider nonblood alternatives?
  2. I just want to make sure you and your spouse understand the risks as you consider the options.
  3. I don't really understand why you are afraid to take the medication. Do you have any questions I can answer to alleviate your fear?
  4. I really don't understand why you won't consider an abortion. Your admission papers say you are an atheist.
  5. I'm not quite sure why the health care provider is giving you these prescriptions. You didn't get them filled the last time you were here.

[sabina576]

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: It is important to assess the cultural use of herbs and spices and determine if there may be any interactions with prescribed medications.
Rationale 2: The nurse can assess the patient's response to acupuncture and interpret the effects on prescribed treatment with respect for the patient's culture.
Rationale 3: Cultures view health and wellness in different ways. An understanding of the patient's cultural beliefs allows the nurse to provide better support and guidance.
Rationale 4: As long as the medicine man does not prescribe any herbs, the nurse does not have to discuss this with the provider.
Rationale 5: The nurse need not remove the herbs but rather should discuss possible adverse effects when the herbs are mixed with prescribed medications.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: This statement shows the nurse is respectful of religious beliefs and open to offering alternative treatment.
Rationale 2: This statement shows the nurse is accepting of patients' beliefs.
Rationale 3: This statement may encourage the patient to open up to the nurse about fears.
Rationale 4: This is a judgmental and insensitive comment. A culturally competent nurse is sensitive to the patient's spiritual beliefs or lack thereof.
Rationale 5: This statement does not consider social factors that may contribute to nonadherence.