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 ["A","B","C","D"]

Explanation

A. This response is correct because patients have the right to receive clear and accurate information about their medical care. Professional interpreters ensure that patients fully understand their medical conditions, treatment options, and procedures. Using a qualified interpreter respects the patient's right to competent and equitable care.
B. Using a child as an interpreter can cause discomfort or embarrassment for both the child and the older adult. The situation might be emotionally charged, and the presence of a child in a professional medical setting could make the older adult feel uncomfortable or pressured.
C. Privacy laws, such as the Health Insurance Portability and Accountability Act (HIPAA) in the U.S., emphasize the importance of maintaining patient confidentiality. While privacy laws primarily address the protection of patient information, they also suggest that sensitive discussions, such as those about health conditions and treatments, should be handled by trained professionals to ensure privacy and confidentiality are upheld. A child might not be able to maintain the same level of confidentiality as a professional interpreter.
D. Children, especially minors, may lack the maturity, language proficiency, and medical vocabulary needed to accurately and effectively translate complex medical information. Miscommunication can
lead to misunderstandings about the patient’s condition and treatment, potentially compromising care.
E. This response is not the most valid in this context. While it might be true that using an untrained interpreter could potentially take longer, the primary concerns are about accuracy, professionalism, and maintaining patient rights and confidentiality. The use of a professional interpreter ensures that communication is clear and precise, which is essential for effective medical care.

A. age B. cancer diagnosis C. nutritional status D. cognitive limitations

Correct Answer is C

Explanation

A. While age can affect the absorption of some medications, it is not the primary factor that would impact the effectiveness of a topical cream in this case.
B. The cancer diagnosis itself does not directly affect the absorption of topical medications. However, the underlying disease process and treatment may impact the patient's overall health and nutritional status, which can in turn affect medication absorption.
C. Topical medications are absorbed through the skin. Malnutrition can lead to skin thinning and decreased circulation, which can impair the absorption of topical medications. Therefore, the patient's nutritional status is the most likely factor to negatively impact the effectiveness of the topical cream.
D. The patient's cognitive limitations may make it difficult to follow instructions regarding the application of the topical cream, but this does not directly affect the medication's effectiveness.

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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 working in the emergency department is seeing an older patient who does not speak English well. The nurse calls for an interpreter. The student wants to know why the patient's minor child, who speaks English, cannot interpret. What response by the nurse is best? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

The nurse is preparing to apply a topical cream on the arm of a cognitively impaired, anorexic older adult patient in the terminal stage of lung cancer. The nurse carefully monitors the effectiveness of the medication because its effectiveness will be most negatively impacted by the patient's:

Correct Answer is C

Explanation

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