The nurse is caring for a Native American who has had recent surgery. In the patient's culture, it is a sign of weakness to complain of pain. In the nurse's culture, people who are having pain ask for pain medicine
The nurse has assumed that the patient has not been having pain and does not need medication because he has not complained of pain. What is the nurse doing? a. Utilizing cultural imposition by not asking the patient about his pain
b. Striving to provide culturally congruent care by allowing the patient to suffer
c. Operating from an emic worldview of the patient's cultural beliefs
d. Practicing discrimination by not giving the patient pain medicine
A
Health care practitioners who have cultural ignorance or cultural blindness about differences generally resort to cultural imposition and use their own values and lifestyles as the absolute guide in dealing with patients and interpreting their behaviors. Culturally competent care is the care provided by the nurse who attempts to bridge cultural gaps in caring, work with cultural differences, and enable patients and families to achieve meaningful and supportive caring. The nurse in this case has not been able to do this. Any intercultural encounter consists of an inside or native perspective (emic worldview) and an outsider's perspective (ethic worldview). The nurse is obviously utilizing an ethic worldview. The nurse may be acultural, but she/he did not purposefully ignore the patient's need.
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