A client from a cultural background that prioritizes folk healing reports using herbal remedies and spiritual ceremonies to address a chronic illness. What is the nurse's best initial approach in planning care?
Ignore the client's mention of folk practices and focus solely on professional care.
Collaborate with the client to integrate folk healing practices into the treatment plan alongside professional care
Encourage the client to stop all folk practices and rely solely on evidence-based medical treatments
Advise the client to use folk healing practices only after professional care has been completed
The Correct Answer is B
A. Ignore the client's mention of folk practices and focus solely on professional care: Ignoring cultural beliefs can undermine trust and hinder the therapeutic relationship. Cultural competence requires acknowledging and respecting the client’s practices.
B. Collaborate with the client to integrate folk healing practices into the treatment plan alongside professional care: Working with the client to safely incorporate culturally significant practices promotes adherence, respects autonomy, and fosters a therapeutic alliance. Integration ensures that folk remedies do not interfere with evidence-based treatments.
C. Encourage the client to stop all folk practices and rely solely on evidence-based medical treatments: This approach is confrontational and dismissive of cultural beliefs. Forcing compliance may increase resistance and reduce engagement in care.
D. Advise the client to use folk healing practices only after professional care has been completed: Imposing sequencing or conditional acceptance can be perceived as disrespectful. Collaborative planning that considers timing, safety, and compatibility with medical care is more effective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Focusing solely on documentation tasks: Limiting responsibilities to documentation does not actively contribute to patient safety. While accurate records are important, patient care and safety require engagement in clinical tasks and communication.
B. Following the lead of more experienced nurses and asking questions when needed: Novice nurses enhance patient safety by recognizing their skill limitations, seeking guidance, and clarifying instructions. This approach ensures safe, supervised care while promoting learning and confidence.
C. Independently making decisions to enhance learning: Independent decision-making without sufficient knowledge or supervision can compromise patient safety. Novice nurses must rely on guidance until they demonstrate competency.
D. Avoiding complex cases to prevent errors: While avoiding situations beyond their skill level may reduce immediate risk, complete avoidance does not contribute positively to patient care or learning opportunities. Structured supervision is preferred.
Correct Answer is A
Explanation
A. Reassess blood pressure using a manual cuff and notify the provider: Confirming the reading ensures accuracy and rules out equipment error. Notifying the provider allows timely assessment and intervention for potential hypotensive complications, which is critical for patient safety.
B. Measure oxygen saturation to rule out hypoxia: While monitoring oxygenation is important, hypotension can exist independently of oxygen saturation. Addressing low blood pressure takes priority to prevent organ hypoperfusion.
C. Administer intravenous fluids to correct hypotension: Fluid resuscitation may be indicated, but the nurse should first verify the blood pressure reading and follow provider orders. Administering fluids without confirmation or orders could cause harm.
D. Position the client in a semi-Fowler's position to improve circulation: Semi-Fowler’s position may not optimize perfusion in hypotensive patients. Trendelenburg or supine positioning is typically more effective, but proper intervention requires provider guidance after assessment.
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