Examkin

Soru

Zorluk: OrtaCultural Awareness and Influences on Health

A practical nurse (PN) is preparing an older adult client of Native American heritage for transport to the radiology department. The PN notices a small leather pouch (medicine bag) tied to the client's hospital gown. Which of the following actions by the PN provide culturally competent care? (Select all that apply.)

  1. Ask the client if they prefer the pouch to remain with them during the procedure.Cevap
  2. Request the client's permission before touching or attempting to reposition the pouch.Cevap
  3. C
    Remove the pouch and give it to a family member for safekeeping to prevent loss.
  4. Document the client's cultural request to keep the pouch in the medical record.Cevap
  5. E
    Open and inspect the contents of the pouch to ensure there are no safety hazards.
  6. F
    Inform the client that strict hospital regulations prohibit personal items in the radiology department.

Cevap

The culturally competent actions are to ask the client if they prefer the pouch to remain with them, request permission before touching it, and document the cultural request in the medical record.
Providing culturally competent care involves recognizing and respecting the spiritual significance of items such as a medicine bag. The practical nurse must advocate for the client by asking for their preferences, seeking explicit permission before touching sacred objects, and communicating these cultural needs to the interdisciplinary team through accurate documentation.

Adım Adım Çözüm

1
Identify the cultural significance of the medicine bag for the Native American client.
The pouch is recognized as a sacred object that provides spiritual protection.
Understanding cultural beliefs is the first step in providing culturally congruent care.
2
Determine the appropriate nursing interventions that respect this cultural practice.
The nurse must seek permission before touching the object, ask about the client's preferences for the procedure, and document these needs.
Therapeutic communication and advocacy are required to accommodate cultural artifacts safely within the hospital setting.
3
Evaluate the incorrect actions to avoid cultural insensitivity.
Removing, opening, or citing rigid policies against the medicine bag are identified as non-therapeutic and disrespectful.
Such actions demonstrate ethnocentrism and violate the client's cultural rights.

Anahtar Kavram

Culturally Competent Care for Native American Clients: Sacred Objects
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Konular

Cultural Awareness and Influences on Health

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