A client of Native American descent comes to the hospital in ...

[storky111]

A client of Native American descent comes to the hospital in early labor at 23 weeks' gestation. The client's parents, sisters, and brothers are with her as well as her husband. The client's family insists on remaining with her during labor.
 
  Hospital policy, however, limits visitors to two. Which action is most appropriate for the nurse to take in this situation?
  A) Ask the parents of the baby what their needs are regarding the family request.
  B) Call security to escort the family out of the hospital.
  C) Speak with the nurse manager about supporting the family's wishes.
  D) Show the family to the waiting room.

Question 2

A client of Eastern European descent who gave birth to her third child on the previous shift tells the nurse that she wants to get cleaned up and have something to eat so that she can be ready to go home in the morning. Which action by the nurse is approp
 
  A) Suggest that the client take advantage of the rest since she has other children at home who will also need her care.
  B) Instruct the client to pace herself and that there is no hurry rush to go home.
  C) Assist the client with self-care requests and check on when the meals will be delivered.
  D) Suggest that her plans to go home depend upon her physician.

[whitcassie]

Answer to Question 1

Answer: A

The mother and the baby's father may be acculturated to contemporary American life enough that they might not want the extended family in attendance even though they know this is traditional. Before confronting the family by asking them to leave or calling security, the parents of the baby are consulted first. If the parents agree to the extra visitors, then seeking the assistance of the manager is inappropriate.

Answer to Question 2

Answer: C

To provide culturally sensitive care, the nurse should assist the client with self-care requests and check on when the meals will be delivered because clients of European descent often want to ambulate, shower, dress, and plan to go home quickly. The nurse should not suggest that the discharge is dependent upon the physician. Telling the client to pace herself or to take advantage of rest because she has other children at home who will also need her care does not allow for cultural differences surrounding childbirth.