Which nursing action best demonstrates cultural competence in end-of-life care?
Discussing advance directives with the patient to ensure their wishes are documented
Consulting with the patient's family about their preferences for funeral arrangements
Encouraging the patient to participate in religious rituals and ceremonies important to their cultural beliefs
Administering pain medication as prescribed to a terminally ill patient
The Correct Answer is C
A. While discussing advance directives is important for ensuring patient wishes are documented, it does not specifically address cultural competence in end-of-life care.
B. Consulting about funeral arrangements is important but focuses on post-death logistics rather than the patient’s current end-of-life care preferences.
C. Encouraging participation in religious rituals and ceremonies shows respect and support for the patient’s cultural beliefs, demonstrating cultural competence in providing holistic care.
D. Administering pain medication is a standard practice in end-of-life care and important for comfort but does not specifically address the cultural aspects of the patient’s care.
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Related Questions
Correct Answer is A
Explanation
A. Medicaid provides health insurance primarily to individuals and families with incomes below the poverty line, including low-income adults, children, pregnant women, and individuals with disabilities.
B. Eligibility for Medicaid is based on income and other criteria, not simply the lack of other health insurance.
C. Being below the age of 18 alone does not determine Medicaid eligibility; it is more dependent on income and other eligibility factors.
D. Individuals aged 65 or older are typically eligible for Medicare, not Medicaid, although low-income seniors may qualify for both Medicare and Medicaid depending on their financial situation.
Correct Answer is A
Explanation
A. The ecological model of health care focuses on multiple levels of influence, including individual, interpersonal, organizational, community, and societal factors. A 35-year-old male with a family history of prostate cancer is a primary target because early intervention and prevention strategies can be tailored based on genetic and lifestyle factors.
B. A client with chronic hepatitis A would benefit from management within a clinical setting rather than an ecological model, which is more preventive and community-focused.
C. A client with established diabetes mellitus might be managed through medical treatment and lifestyle changes, which are typically individual-focused rather than ecological.
D. A client with HIV would require specialized care and management, which is more focused on medical and individual needs rather than the broader ecological approach.
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