Author Question: The nurse working on a postpartum unit is caring for a Native American client who requests that the ... (Read 61 times)

rosent76 · **on:** Jul 22, 2018

The nurse working on a postpartum unit is caring for a Native American client who requests that the placenta be returned in order to take it home and bury it under the tree in her yard.

Which of the following would demonstrate cultural competence? 1. I understand the importance of burying the placenta to your culture, but because of the risk of blood-borne pathogens, we cannot allow you to have it.
2. I will speak with my supervisor and do everything I can to obtain it.
3. Placentas contain a great deal of blood, and are not returned to clients.
4. Why do you bury the placenta?

Question 2

A client with a muscle injury has just returned to the unit from the Physical Therapy department. The client complains to the nurse that the muscles of the shoulder are sore after the exercise in physical therapy.

The nurse suggests that the client apply an ordered cold pack for 20 minutes to the shoulder muscles for which of the following reasons? 1. Cooling the muscles will help them to relax and feel less sore.
2. Cold will reduce blood flow and inflammation created by the exercise.
3. Cold packs will bring healing blood to the injured muscle.
4. Cold therapy reduces the risk of infection.

Viet Thy · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2
Rationale 1: Answer option 2 demonstrates cultural competence by recognizing the importance of this belief to the client and working as an advocate to meet the client's needs. Option 1 demonstrates cultural sensitivity, but does not demonstrate cultural competence, because the nurse is not recognizing the importance of this request to the client. Option 4 demonstrates culture awareness in trying to learn more about differences in cultures but does not go far enough to demonstrate cultural competence. Option 3 does not demonstrate cultural awareness, cultural sensitivity, or cultural competence.

Answer to Question 2

2
Rationale: When injured muscles are exercised, inflammation occurs immediately following the exercise. Cold packs help reduce the inflammation. Heat is then applied after the cold to promote relaxation and perfusion to the muscle. Since sore muscles are not an open wound, infection is not a consideration.