At a local hospital, the postpartum care policy requires that nurses observe the mother during infant care to assess the mother's ability to care for the new baby and to promote bonding. A new mother expresses concern that in her country, all infant care is provided by other family members so that the mother can rest and recover. Which of the following actions would be taken by a culturally competent nurse?
Explain that the process of postpartum recovery does not require this much rest and require that she provide infant care.
Reinforce the importance of bonding and that all good mothers gladly assume these responsibilities.
State that she must abide by hospital policy because documentation of the mother's ability to give the infant care is required for discharge.
Allow family members to provide the newborn's care and assess the mother's knowledge of child care through discussion.
The Correct Answer is D
A. Explain that the process of postpartum recovery does not require this much rest and require that she provide infant care. This disregards cultural norms and imposes a Western view of postpartum care, which is not culturally competent.
B. Reinforce the importance of bonding and that all good mothers gladly assume these responsibilities. This is judgmental and does not acknowledge that bonding can occur in different ways, including through family support.
C. State that she must abide by hospital policy because documentation of the mother's ability to give the infant care is required for discharge. This approach is rigid and does not consider the patient's cultural background or alternative ways to assess knowledge.
D. Allow family members to provide the newborn's care and assess the mother's knowledge of child care through discussion. Cultural competence involves respecting diverse traditions and practices while ensuring safe patient care. In many cultures, postpartum care emphasizes maternal rest while family members care for the newborn. The nurse should assess the mother's knowledge without forcing her into an unfamiliar practice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Imposition: Cultural imposition refers to forcing one’s own beliefs on another person, which is not the case here.
B. Brokering: Cultural brokering involves mediating between the patient and the healthcare system, which is not applicable in this scenario.
C. Awareness: Awareness means recognizing cultural differences but does not involve taking action, as demonstrated in this case.
D. Accommodation: Cultural accommodation involves making adjustments to support a patient's cultural practices without causing harm to others. By repositioning the bed, the nurse respects the patient’s religious beliefs and enhances comfort.
Correct Answer is D
Explanation
A. Tertiary prevention: Tertiary prevention focuses on minimizing complications of an already existing disease. This intervention is aimed at prevention, not complication management.
B. Secondary prevention: Secondary prevention involves early detection and screening (e.g., bone density scans), not dietary interventions.
C. Treatment, but not prevention: Advising on calcium intake is a preventive strategy, not a form of treatment for an existing condition.
D. Primary prevention: Primary prevention involves actions to prevent disease before it occurs. Encouraging adequate calcium intake helps prevent osteoporosis-related complications, making it a primary preventive measure.
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