A nurse is working with a client who has a terminal illness and is considering hospice care. The client's family is opposed to this option and wants the client to continue aggressive treatment. The nurse learns that the client and the family are from a collectivistic culture that values family harmony and decision-making. What should the nurse do to facilitate ethical and culturally sensitive care?

Rationale: The nurse should provide the client with information about local support groups and resources for immigrants, as this can help the client to connect with others who share similar experiences and challenges, and to access services that can facilitate their adjustment and integration into the new culture.

Incorrect options:

A) Encourage the client to adopt the dominant culture as soon as possible. - This is an incorrect intervention, as it may cause the client to feel pressured to abandon their own cultural identity and values, which can increase their stress and alienation.

C) Discourage the client from expressing negative emotions or frustrations about the new culture. - This is an incorrect intervention, as it may invalidate the client's feelings and prevent them from coping effectively with their culture shock. The nurse should acknowledge and empathize with the client's emotions and help them to find positive ways to deal with them.

D) Avoid asking the client about their cultural beliefs and practices to prevent stereotyping. - This is an incorrect intervention, as it may create a barrier to communication and rapport between the nurse and the client, and prevent the nurse from providing culturally competent care. The nurse should ask open-ended questions and show respect and curiosity for the client's cultural background and preferences.

Rationale: The nurse should explore their feelings and thoughts critically and reflectively to identify their sources and effects, as this can help them to recognize and acknowledge their own cultural bias, understand how it may influence their perception and behavior toward the client, and take steps to minimize its impact on their care delivery.

Incorrect options:

A) Ignore their feelings and thoughts and focus on providing objective and standardized care. - This is an incorrect action, as it may prevent the nurse from addressing their own cultural bias, which may affect their ability to provide objective and individualized care that meets the client's needs and preferences.

B) Express their feelings and thoughts openly and honestly to the client and ask for feedback. - While open and honest communication is important in nursing, expressing negative feelings and thoughts about a client's culture directly to the client can be potentially harmful and disrespectful. It is essential for nurses to maintain professionalism and provide culturally sensitive care.

D) Change their feelings and thoughts by adopting a positive attitude and mindset toward the client's culture. - While it is important for nurses to approach their care with an open and respectful attitude, simply adopting a positive mindset may not address the underlying cultural bias. It is crucial for nurses to engage in self-reflection and critical thinking to understand and challenge their own biases effectively.