Fundamentals of Nursing Q 354



What should the nurse do when planning nursing care for a client with a different cultural background? The nurse should:
  
     A. Allow the family to provide care during the hospital stay so no rituals or customs are broken.
     B. Identify how these cultural variables affect the health problem.
     C. Speak slowly and show pictures to make sure the client always understands.
     D. Explain how the client must adapt to hospital routines to be effectively cared for while in the hospital.
    
    

Correct Answer: B. Identify how these cultural variables affect the health problem.

Without assessment and identification of the cultural needs, the nurse cannot begin to understand how these might influence the health problem or health care management. Culture is influential at many levels in health, ranging from the formation of new diagnostic groups to the diagnosis of disease to the determination of what is called a disease or no symptoms and disease cues

Option A: The transcultural approach should be considered in a wide range of subjects, starting from asking if there are any religious practices to be followed or done by the patient during the hospitalization, and writing the signs in the hospital in two different languages.
Option C: Health culture is concerned with every individual’s or the society’s patterns of living, celebrating, being happy in life, suffering, and dying. It is not enough for the individual to acquire only health-related information, but basic skills such as comprehending health-related values, developing a healthy lifestyle, and self-evaluation must be developed.
Option D: The environment is an integral part of the culture. Individuals as physical, ecological, sociopolitical, and cultural beings are continuously interacting with each other. Nurses may have to intervene in the patient and family relationship because of frequent bureaucratic arrangements and procedures.