An older adult patient has been approached to participate in a ...

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An older adult patient has been approached to participate in a research study. The nurse best advocates for the patient's right of self-determination by
 
  a. evaluating the patient's cognitive ability to understand the consequence of the study.
  b. determining what risks to the patient are involved.
  c. discussing the importance of the study with the patient and his family.
  d. encouraging the patient to discuss the de-cision with trusted family or friends.

Question 2

A Hispanic patient explains that the Hispanic culture believes that dietary management would be just as effective in managing her problems as medication, so the patient's prescription has not been filled
 
  Which action by the nurse illustrates cultural accommodation?
  a. Asking the patient to give more details regarding this belief
  b. Discussing how to add dietary preferences into the treatment plan
  c. Offering to have a registered nutritionist discuss the situation with the patient
  d. Researching the patient's proposed dietary beliefs

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Answer to Question 1

A
The right to self-determination has its basis in the doctrine of informed consent. Informed con-sent is the process by which competent individuals are provided with information that enables them to make a reasonable decision about any treatment or intervention that is to be performed on them. The other options do not address autonomy and self-determination.

DIF Applying (Application)

REF: N/A OBJ: 3-7 TOP: Communication and Documentation
MSC: Safe and Effective Care Environment

Answer to Question 2

B
Cultural care accommodation or negotiation refers to those assistive, supportive, facilitative, or enabling creative professional actions and decisions that help people of a designated culture adapt to or negotiate with others for a beneficial or satisfying health outcome. The nurse can ask the patient to share more about beliefs, offer a consultation with a nutritionist, or research the beliefs, but these actions do not show accommodation.