When planning care for a Latino American client, the nurse should ...

[jparksx]

When planning care for a Latino American client, the nurse should be aware of which cultural influence that may impact access to health care?
 
  A. The root doctor may be the first contact made when illness is encountered.
  B. The yin and yang practitioner may be the first contact made when illness is encountered.
  C. The shaman may be the first contact made when illness is encountered.
  D. The curandero may be the first contact made when illness is encountered.

Question 2

A Native American client is admitted to an emergency department (ED) with an ulcerated toe secondary to uncontrolled diabetes mellitus. The client refuses to talk to a physician unless a shaman is present.
 
  Which nursing intervention is most appropriate? A. Assist the client in contacting a shaman of his choice.
  B. Explain to the client that voodoo medicine will not heal the ulcerated toe.
  C. Ask the client to explain what the shaman can do that the physician cannot.
  D. Inform the client that refusing treatment is a client's right.

[dlook33]

Answer to Question 1

D
The nurse should understand that some Latino Americans may initially contact a curandero when illness is encountered. The curandero is the folk healer who is believed to have a gift from God for healing the sick. Treatments often include supernatural rituals, prayers, magic, practical advice, and indigenous herbs.

Answer to Question 2

A
The most appropriate nursing intervention would be to facilitate meeting the client's need to have a shaman present. The nurse should understand that in the Native American culture, religion and health-care practices are often intertwined. The shaman, a medicine man, may confer with physicians regarding the care of a client. Research supports the importance of both health-care systems in the overall wellness of Native American clients.

[jparksx]

Gracias!

[atrochim]

TYSM