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 A
Explanation
A. Agent, Host, Environment: The epidemiologic triangle consists of:
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Agent – The cause of disease (e.g., bacteria, viruses, toxins).
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Host – The person or animal affected by the disease.
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Environment – External factors that influence disease transmission (e.g., climate, sanitation, population density).
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B. Agent, Condition, Variable: "Condition" and "Variable" are not standard components of the epidemiologic triangle. The correct term is host (the affected person or animal).
C. Agent, Host, Condition: "Condition" is not part of the triangle. The environment is a crucial factor that influences the spread of disease.
D. Agent, Host, Disease: "Disease" is an outcome rather than a component of the epidemiologic triangle. The triangle focuses on the factors that contribute to disease spread, including the environment.
Correct Answer is B
Explanation
A. The incidence of asthma among children has been decreasing: The incidence of childhood asthma has been increasing due to rising air pollution, allergens, and environmental triggers.
B. Children are more susceptible to environmental toxins because of their smaller size: Due to their lower body weight, developing organs, and higher metabolic rate, children absorb toxins more readily and are more vulnerable to harmful effects.
C. Children are more susceptible to cancer if they have a family history of the disease: While family history plays a role, environmental exposures (e.g., radiation, chemicals) also contribute significantly to childhood cancer risk.
D. The prevalence of autism is directly related to the increase in environmental toxins: While research is ongoing, no definitive causal link has been established between environmental toxins and autism. Autism is influenced by multiple genetic and environmental factors.
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