A Native American client is admitted to an emergency department (ED) with an ulcerated toe, secondary to uncontrolled diabetes mellitus. The client refuses to talk to a physician unless a shaman is present
Which nursing intervention is most appropriate? 1. Try to locate a shaman that will agree to come to the ED.
2. Explain to the client that "voodoo" medicine will not heal the ulcerated toe.
3. Ask the client to explain what the shaman can do that the physician cannot.
4. Inform the client that refusing treatment is a client's right.
1
Rationale: The most appropriate nursing intervention would be to try to locate a shaman that will agree to come to the ED. The nurse should understand that in the Native American culture, religion, and health-care practices are often intertwined. The shaman, a medicine man, may confer with physicians regarding the care of a client. Research supports the importance of both health-care systems in the overall wellness of Native American clients.
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