A nurse is providing discharge instructions to a client who has limited health literacy. Which strategy should the nurse use to enhance culturally competent care?

Rationale: The nurse should respect the client's cultural preference for using herbal remedies and ask about the types and effects of the herbal remedies they use, as this can help to identify any potential interactions or contraindications with the prescribed medications. The nurse should also provide information about the prescribed medications and their expected outcomes, and collaborate with the client and the health care provider to develop a mutually acceptable treatment plan that incorporates both conventional and alternative therapies.

Incorrect options:

A) Discourage the client from using any herbal remedies, as they may interfere with the prescribed medications. - This is an incorrect option, as it shows a lack of respect for the client's cultural preference and may cause the client to feel defensive or distrustful of the nurse and the health care system.

C) Report the client to the health care provider for noncompliance with the prescribed treatment plan. - This is an incorrect option, as it implies that the client is violating a rule or regulation by using herbal remedies, which may not be the case. The nurse should not assume that the client is noncompliant with the prescribed treatment plan without first assessing their understanding and adherence to it.

D) Educate the client about the evidence-based benefits of conventional medicine over herbal remedies. - This is an incorrect option, as it shows a lack of cultural sensitivity and may create a power imbalance between the nurse and the client. The nurse should not impose their own beliefs or values on the client, but rather acknowledge and respect their differences and preferences.

Rationale: The nurse should provide written materials that are at an appropriate reading level and use simple language, as this can help to improve the client's comprehension and retention of information, and reduce confusion and anxiety. The written materials should also be culturally relevant and sensitive, and include pictures, diagrams, or charts if possible.

Incorrect options:

A) Use medical jargon and technical terms to explain the diagnosis and treatment plan. - This is an incorrect option, as it may overwhelm or intimidate the client, and hinder their understanding and adherence to the diagnosis and treatment plan. The nurse should avoid using medical jargon and technical terms, and instead use plain language that is clear and concise.

C) Give verbal instructions only and ask the client to repeat them back verbatim. - This is an incorrect option, as it may not be sufficient or effective. Verbal instructions alone may not adequately address the client's limited health literacy. Additionally, asking the client to repeat the instructions verbatim may not accurately gauge their understanding, as they may feel embarrassed or hesitant to ask for clarification.

D) Assume that the client understands everything and does not have any questions. - This is an incorrect option, as it overlooks the client's limited health literacy and assumes their understanding without proper assessment. It is important for the nurse to actively assess the client's understanding, encourage questions, and provide additional explanations or clarifications as needed.