Which statement is most reflective of Madeleine Leininger's ...

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Which statement is most reflective of Madeleine Leininger's theory of cultural care?
 
  a. The goal of her theory is to guide research that will assist nurses to provide culturally congruent care.
  b. The model for cultural competence stresses teamwork in providing culturally sensitive and competent care to improve outcomes for individuals, families, and communities.
  c. The model focuses on five components of cultural competence: Awareness, skills, knowledge, encounters, and desire.
  d. The theory focuses on increasing levels of one's consciousness to improve the possibilities to provide culturally competent care.

Question 2

The nursing student tells her instructor, My patient is Jewish and when I tried to teach her about her antihypertensive medication she said, I'd rather eat chicken soup than take those medications.
 
  ' What is the most appropriate response by the instructor?
  a. This is common folk medicine among some Jewish people. You can talk to her about taking her medications and eating chicken soup.
  b. There is no scientific evidence to support chicken soup as a substitute for antihypertensive medications. Maybe you should do some research on this.
  c. The patient can make her own choices and decisions, and there is nothing we can do about this.
  d. You can tell the patient she can eat her soup, but she needs to understand that she has to take her medications first.

[nicoleclaire22]

Answer to Question 1

A
Although Madeleine Leininger does not use the specific term cultural competence, her theory fits with that concept. The goal of her theory is to guide research that will assist nurses to provide culturally congruent care using her three modes of nursing care actions and decisions. The Purnell model for cultural competence stresses teamwork in providing culturally sensitive and competent care and the Purnell model identifies several levels of consciousness in achieving cultural competence. The Campinha-Bacote model identifies the mnemonic ASKED (awareness, skills, knowledge, encounters, and desire).

Answer to Question 2

A
It is not uncommon for any group, including those of the Jewish faith, to practice folk medicine and use folklore remedies. Chicken soup is a folk medicine, although it certainly may have some health value unrelated to hypertension. Folk medicine is defined as the belief and practice that the members of a group follow when they are ill as opposed to more conventional (biomedical or professional) standards. In this item, the most appropriate response by the instructor is to ask the student to talk to her patient about using both, as neither will interfere with the other and the patient most likely needs the antihypertensive medications. Asking the student to complete some research may be appropriate at another time, but this response will not assist the student in working with her patient. A patient can make his or her own choices and decisions but it is more appropriate to talk to the patient, provide some teaching, and gain insight before just throwing in the towel.

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Thank you!

[nicoleclaire22]

Always glad to help...