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 C
Explanation
A. Malaria chemoprophylaxis is a form of primary prevention, as it aims to prevent the occurrence of malaria before exposure or infection.
B. Physical therapy following shoulder surgery is related to tertiary prevention, focusing on rehabilitation and improving function after an injury or illness.
C. Contact tracing of a salmonella outbreak is an example of secondary prevention, as it involves identifying and managing individuals who have been exposed to or are infected with the disease to prevent further spread.
D. Pneumocystis carinii chemoprophylaxis for people with AIDS is a form of primary prevention aimed at preventing the initial occurrence of pneumonia in immunocompromised individuals.
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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