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 patients prescription has not been filled. Which action by the nurse illustrates cultural accommodation?

Asking the patient to give more details regarding this belief

Researching the patients proposed dietary beliefs

Discussing how to add dietary preferences Into the treatment plan

Offering to have a registered nutritionist discuss the situation with the patient

Answer and Explanation

The Correct Answer is C

A.   This action demonstrates a willingness to understand and respect the patient’s cultural beliefs. By asking for more details, the nurse shows interest in the patient's perspective and opens a dialogue to better understand the cultural context of their health beliefs.
B.   This action involves the nurse taking the initiative to understand the cultural practices and dietary beliefs of the patient. By researching these beliefs, the nurse can gain insight into how the patient's culture views dietary management and how it might be integrated into their overall care. However, while researching is valuable, it does not directly engage with the patient’s beliefs or preferences in a clinical context.
C.   By discussing how to incorporate the patient’s dietary preferences into their treatment plan, the nurse is showing respect for the patient's cultural beliefs while still working within the medical framework. This approach helps to integrate the patient’s cultural practices with conventional medical treatment, fostering a collaborative approach to care.
D.   This action is also a good example of cultural accommodation. By involving a registered nutritionist, the nurse is providing the patient with professional guidance that aligns with their cultural beliefs about dietary management. This approach respects the patient’s preferences and provides expert advice on how to incorporate those preferences into a medically sound treatment plan.

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Correct Answer is B

Explanation

A. Limiting the number of visitors may be a necessary step if the patient is becoming overwhelmed or tired. However, this approach might not consider the cultural significance of extended family and community in Arab American culture, where family involvement is often highly valued.
B. Suggesting shorter visits is a more balanced approach. It acknowledges the patient's need for rest while still respecting the importance of family and community involvement. This action can help manage the patient's fatigue while allowing them to maintain cultural and familial connections. It’s a compromise that accommodates both the patient's health needs and cultural values.
C. Requiring visitors to check in at the front desk can help manage visitor flow and ensure that the patient is not overwhelmed. However, this action does not directly address the issue of visitor duration or frequency, which might still lead to patient fatigue. It also might not align with cultural expectations of openness and hospitality in Arab American culture, where family and visitors are often seen as central to the patient’s well-being.
D. Allowing only family members to visit might help reduce the number of visitors and ensure that the patient receives support from those closest to them. However, this approach may be too restrictive and could potentially isolate the patient from their broader support network, which might be an important aspect of their cultural practices. It also does not address the underlying issue of managing visitor fatigue.

A. protect the kidneys function B. have a well-defined therapeutic window C. can be given when liver function is compromised D. are more effective than other drugs in the same class

Correct Answer is A

Explanation

A. Angiotensin II receptor blockers (ARBs) are a class of medications used to treat high blood pressure. They work by blocking the effects of angiotensin II, a hormone that constricts blood vessels and causes the kidneys to retain sodium and water. This can lead to increased blood pressure and damage to the kidneys.

B. While ARBs do have a well-defined therapeutic window, this is not the primary reason why they are especially useful in older adults.
C. ARBs should be used with caution in patients with liver problems, as they can be metabolized by the liver.
D. ARBs are generally considered to be as effective as other antihypertensive medications, such as angiotensin-converting enzyme (ACE) inhibitors.

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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 patients prescription has not been filled. Which action by the nurse illustrates cultural accommodation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an Arab American patient in the hospital. The patient has many visitors who seem to be tiring the patient. What action by the nurse is best?

Correct Answer is B

Explanation

An older adult diabetic patient is mildly hypertensive. The nurse prepares to educate the patient regarding angiotensin ll blocking agents. These drugs are especially useful in older adults because they:

Correct Answer is A

Explanation

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