A nurse is planning culturally competent care for a child of ...

[Yolanda]

A nurse is planning culturally competent care for a child of Hispanic descent. Which characteristic found in a Hispanic family should the nurse include in the plan of care?
 
  a. Stoicism
  b. Close extended family
  c. Docile children are considered weak
  d. Very interested in health-promoting lifestyles

Question 2

Which is the priority nursing intervention for the family of a child who has been admitted to the hospital?
 
  a. Begin discharge teaching.
  b. Identify and mobilize internal and external strengths.
  c. Identify ways in which the family could have prevented their child's hospitalization.
  d. Instruct the parents on normal growth and development.

[Sarahjh]

Answer to Question 1

B
Most Mexican-American families are very close and it is not unusual for children to be surrounded by parents, siblings, grandparents, and godparents. It is important to respect this cultural characteristic and to see it as a strength, not a weakness. Although stoicism may be present in any family, Mexican-American families tend to be more expressive. Considering docile children as weak is a characteristic of American Indians. Although there is a trend for everyone to embrace more health-promoting lifestyles, it is more prominent in Anglo-Americans.

Answer to Question 2

B
Family interventions should be directed toward enhancing positive coping strategies and directing the family to appropriate resources. Although discharge teaching is begun as soon as possible, it is ineffective if trust has not been established with the parents or if the level of stress precludes learning. By identifying weaknesses instead of focusing on strengths, the family's anxiety and feelings of powerlessness or guilt may increase. Normal growth and development should be interwoven into teaching; however, teaching cannot take place until the parents have less stress and are open to information.

[Yolanda]

Excellent

[rleezy04]

Gracias!