The nurse is caring for a client who is a refugee from Haiti. The client's family has been displaced because of an earthquake in their country. The client has healing fractures on his right arm as well as fractured ribs
He tells the nurse that, before care begins, the nurse must consult with his Voodoo healer. Which is the nurse's best response
A) Teaching the client that he is in the United States and should abide by Western medical practices
B) Informing the physician that the client is noncompliant
C) Consulting with the healer and updating the physician regarding treatment and any herbal medications that may be used
D) Encouraging the client to use a complementary approach to his care
Ans: C
Feedback:
Some practices of healthcare institutions and clinicians have historically been discriminatory and hurtful to minority groups. Cultural safety refers to providing culturally appropriate health services to disadvantaged groups while stressing dignity and avoiding institutional racism, assimilation, and repressive practices. For the community health nurse, this means ongoing learning about the health beliefs and practices of clients and never dismissing or disrespecting folk traditions. In this case, it would be wise for the nurse to consult the healer, not only out of respect for the client's beliefs, but also to learn what herbal medications the client may be receiving, to prevent any adverse reactions with drugs the physician might prescribe.
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