Sarah, one of your RNs, tells you that she can't understand why Jim, an Aboriginal patient, wants to do a smudge. In coaching Sara, you suggest which of the following?
a. "Explain to Jim that there is no smoking in the hospital."
b. "Inform Jim that fires are not allowed in the hospital."
c. "Insist that he give you his tobacco be-cause it is unhealthy for him."
d. "Ask him what he means by a smudge and what meaning it has for him."
D
By talking with Jim, Sarah is able to step outside her "circle of familiarity" and find and enhance her understanding of personally held prejudices. Prejudice enables Sarah to find meaning in situ-ations, but it also limits understanding. Paradox describes this tension. We have the responsibility to acknowledge the "possibility of tension" as a potential for new and different understandings derived from our communication and interpretation. Possibility, therefore, presumes a condition for openness with a person from another culture (Spence, 2004).
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