The care provider can individualize spiritual and cultural care ...

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The care provider can individualize spiritual and cultural care by:
 
  1. Asking if there is a religious preference.
   2. Assessing the country of origin.
   3. Assessing needs that are verbalized by the patient.
   4. Assessing spiritual and cultural aspects of care and including the patient and caregivers in care planning.

Question 2

A preschooler that is being potty trained is refusing to have bowel movements. The mother brought the child to the clinic because now the child has constipation.
 
  The nurse speaks to the mother about behavior modification efforts to have the preschooler defecate. All of the following may help except: 1. Rewarding the child for defecating in the toilet.
   2. Identifying when the child usually defecated prior to potty training, then attempting to use the toilet at that time.
   3. Create regular times to use the potty, especially 5 to 10 minutes after a meal.
   4. Rewarding the child for defecating in a diaper, then trying to retrain using the toilet.

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Answer to Question 1

4
Feedback
1. Asking about religious preference can be too straightforward for many patients.
2. A country of origin is not the only influence of spiritual and cultural care.
3. Verbalizing needs can help with gaining a full assessment because some people will not communicate their needs.
4. A spiritual and cultural assessment should be performed with each contact with care providers.

Answer to Question 2

4
Feedback
1. Incentives for defecation may be the reason some children will have success because the urge for a treat is important to the child.
2. Timing can help create a known pattern so that the child understands the expectations at particular times throughout the day.
3. Food that is consumed helps to put pressure on the bowel, which may lead to defecation if the child does not have to hold it..
4. Reverting back to diapers may make the child refuse to use a toilet because of the convenience.