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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Apply clean gauze pads over the client's open eyes to prevent damage." This is appropriate. Closing the client's eyes and placing gauze pads over them helps to prevent drying and damage, maintaining a respectful appearance of the deceased.
B. "Place the dentures in a bag that is clearly marked with the client's name." This is incorrect. While it is important to handle personal items with respect, this option is less relevant to postmortem care compared to the other options.
C. "Remove the client's urinary catheter ensuring that the perineum is clean." This is incorrect. If the client is on home hospice care and has just died, it is generally not necessary to remove the urinary catheter unless specifically required by the hospice protocols.
D. "Secure the client's upper extremities by tying them together over the abdomen." This is incorrect and inappropriate. Tying extremities is not a standard practice and does not align with respectful postmortem care.
Correct Answer is C
Explanation
A. Encouraging a positive attitude is more aligned with behavior change theories rather than the Health Belief Model, which focuses on perceived threats and benefits.
B. Tailoring interventions to readiness is more specific to the Transtheoretical Model rather than the Health Belief Model.
C. Providing educational materials to increase awareness of health risks is a core component of the Health Belief Model, as it aims to enhance perceived susceptibility and severity of health issues.
D. Group interaction and reinforcement are strategies more related to social support and behavioral theories rather than the Health Belief Model’s focus on individual perceptions and risks.
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