A mother intends to use the cultural practice of treating her child's ear infection with special candles. The home health practical nurse (PN) should demonstrate cultural accommodation by making which request?
Give the prescribed antibiotics in addition to using the candles.
Use the prescribed antibiotics and if there is no improvement, use the candles.
Provide the prescribed antibiotics instead of using the candles.
Do not use the candles because of the risk of fire and subsequent burns to the child.
The Correct Answer is A
A. Give the prescribed antibiotics in addition to using the candles: Cultural accommodation involves supporting safe cultural practices while ensuring that effective medical treatment is not compromised. Allowing the mother to use the candles along with prescribed antibiotics respects her beliefs and promotes adherence to essential medical therapy.
B. Use the prescribed antibiotics and if there is no improvement, use the candles: Delaying antibiotic treatment can allow the infection to worsen, increasing the risk of complications such as hearing loss or mastoiditis. This approach prioritizes culture over timely medical intervention.
C. Provide the prescribed antibiotics instead of using the candles: Completely rejecting the mother’s cultural practice may damage trust and cooperation. Cultural accommodation seeks to balance safety with respect for cultural traditions.
D. Do not use the candles because of the risk of fire and subsequent burns to the child: While safety is important, dismissing the practice without respectful dialogue can appear culturally insensitive. Education on safe antibiotic use should be combined with cultural respect to maintain therapeutic rapport.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. What are the voices uttering?: Determining the content of the hallucinations is most important because it helps assess whether the client is at risk of harm to self or others. If the voices are commanding or threatening, immediate safety interventions are required.
B. Which medication works best?: Although medication history is relevant for long-term management, it is secondary to assessing the current safety risk posed by the hallucinations.
C. When are the voices most disturbing?: This question helps identify triggers and patterns but is not the top priority during initial assessment when safety concerns must be addressed first.
D. How does the client cope with the voices?: Exploring coping mechanisms is important for ongoing care, but the primary concern upon admission is determining the nature of the hallucinations to ensure safety.
Correct Answer is C
Explanation
A. "You should know that I cannot administer the medication in this syringe.": Although this response is factually correct, it may come across as confrontational. Effective communication in nursing prioritizes professionalism and collaboration while maintaining patient safety.
B. "Teamwork is the best approach. I will be glad to help you get caught up.": Agreeing to administer an unlabeled medication violates safety protocols and legal practice standards. Teamwork should never compromise medication safety or proper identification procedures.
C. "I am not comfortable doing that. Is there something else I can do to help you?": This response appropriately refuses to administer an unidentified medication while maintaining a cooperative tone. It upholds patient safety and professional ethics without creating conflict.
D. "As long as the charge nurse checks the syringe, I can give the medication.": Even with another nurse’s verification, an unlabeled syringe should never be administered because its contents cannot be reliably identified.
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