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.
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