Author Question: The nurse may work with clients from many different cultural backgrounds. Nurses, unfortu-nately and ... (Read 76 times)

OSWALD · **on:** Jul 22, 2018

The nurse may work with clients from many different cultural backgrounds. Nurses, unfortu-nately and inadvertently, may impose their own cultural beliefs on clients.

Which of the follow-ing is an example of a nurse imposing personal perspectives on a client? a. Adapting the client's room to accommodate extra family members who are visit-ing
b. Seeking information on gender-congruent care for an Egyptian client
c. Insisting an older Chinese client do her rehabilitation exercises after she has re-fused to do them until her daughter arrives
d. Encouraging family members to assist with the client's care

Question 2

The nurse is admitting a patient who is a member of the Seventh Day Adventist religion. The physician has written an order for specific tests to be done the next day, which is Saturday. The nurse should

a. Discuss the patient's beliefs about the Sabbath.
b. Order the tests without questioning.
c. Inform the physician that the tests cannot be performed.
d. Reorder the tests for Sunday.

sultana.d · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
In collectivistic cultures that value group reliance and interdependence, such as traditional South Asians, caring behaviours are manifested by actively providing physical and psychological sup-port for kin members. The nurse may perceive the client's refusal of exercise as lack of motivation for self-care, and in this case the nurse is imposing her own belief system.
Adaptation of the client's room to accommodate extra family members is not an example of cul-tural imposition on a client but rather is meeting the client's need by providing culturally con-gruent care.
Seeking information on gender-congruent care for an Egyptian client is an example of the desire to provide culturally congruent care.
Encouraging family members to assist with the client's care is not an example of cultural imposi-tion on a client. Western culture tends to follow a pattern of caring that focuses on self-care and self-determination, whereas non-Western cultures typically have care provided by others.

Answer to Question 2

A
It is essential to consider cultural differences and explore personal preferences when determining nursing interventions to enhance spiritual well-being. Some Seventh Day Adventists may not mind having tests on the Sabbath. Others might. Ordering the tests without questioning may lead to patient refusal later and to wasted resources as well as spiritual distress for the patient. Informing the physician that the tests cannot be performed is premature without speaking with the patient first. It is not in the realm of the nurse to reorder tests. Some tests may be critical and may need to be done on the Sabbath.