A nurse at a community clinic is preparing an educational guide about cultural variances in expression of pain. Which of the following information should the nurse include?
Native American cultural practices include being outspoken about pain.
Puerto Rican cultural practices include the view that outspoken expressions of pain are shameful.
Middle Eastern cultural practices include hiding pain from close family members.
Chinese cultural practices include enduring pain to prevent family dishonor.
The Correct Answer is B
Cultural variances in the expression of pain can impact the assessment and management of pain. It is important to recognize and respect these cultural differences to provide culturally sensitive care. Puerto Rican cultural practices consider the expression of pain as a private matter, and individuals may not express their pain openly, as it may be viewed as a weakness or shameful. In contrast, Native American cultural practices often consider pain as a sign of strength, and individuals may express pain openly to receive validation and support from their community. Chinese cultural practices emphasize the importance of stoicism, and individuals may endure pain to prevent family dishonor. Middle Eastern cultural practices may consider pain as a test of faith, and individuals may hide their pain from close family members to avoid burdening them. By understanding these cultural variances, nurses can assess pain more effectively and develop culturally sensitive pain management plans.
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Related Questions
Correct Answer is A
Explanation
Explanation: According to the Centers for Disease Control and Prevention, the leading cause of death for adolescents aged 15 to 19 years is motor vehicle crashes. Therefore, it is crucial for the school nurse to give priority to motor vehicle safety when planning safety education for adolescents. The nurse can teach safe driving practices, such as wearing seat belts, avoiding distracted driving, and following traffic laws. The nurse can also encourage parents to set limits and supervise their adolescents' driving, such as restricting night driving and the number of passengers. Although sports injury prevention, gun safety, and substance abuse prevention are essential topics, they are not the leading cause of death for this age group.
Correct Answer is C
Explanation
When caring for a client with terminal cancer who expresses a desire to discontinue enteral tube feedings, the nurse's priority is to ensure that the client's wishes are respected and appropriate steps are taken. The most suitable action is:
c) Explain the process for completing a living will.
A living will is a legal document that outlines a person's preferences regarding medical treatment in the event they are unable to communicate their wishes. In this situation, the client can express their desire to forgo enteral tube feedings through a living will, ensuring that their wishes are documented and legally recognized.
The other options may not be as appropriate:
a) Request the facility chaplain to visit the client:While spiritual and emotional support is important, the immediate concern is ensuring the client's autonomy in decision-making regarding medical interventions.
b) Ask the client to sign an informed consent form:Informed consent typically pertains to specific medical procedures, and discontinuing enteral tube feedings is more aligned with the broader context of advance care planning.
d) Complete an against medical advice form:This form is typically used when a patient refuses a recommended treatment against the medical team's advice. However, in this case, the client is expressing their own treatment preferences, and the focus should be on facilitating advance care planning and documentation.
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