An elderly patient in the hospital has not had a bowel movement for three days and the nurse planned to give him a stool softener this morning
The patient declined the medication, however, stating that his wife will be bringing him a herbal medication later in the day that is often used by members of his ethnic group. Which of the following reactions demonstrates cultural care accommodation/negotiation?
A) Documenting the patient's wishes and informing the patient's physician of what he will be taking
B) Teaching the patient about the risks associated with nonstandard doses of herbal remedies
C) Teaching the patient about the benefits of the medication that was ordered for him
D) Ensuring that the herbs are sent to the hospital pharmacy for clearance before he is allowed to take them
Ans: A
In cultural care accommodation/negotiation, the nurse adapts nursing care to accommodate the client's beliefs or negotiate aspects of care that would require the client to change certain practices. Attempting to alter the patient's practice is associated with repatterning/restructuring, and confiscating the herbs is likely not a culturally congruent act, unless they were known to constitute a serious threat to health.
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A client in intensive care has had an STEMI. The client is alternately yelling out and crying. The client states "I'll never be able to go back to work again!" The most appropriate nursing diagnosis for this client is
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A high school basketball player sustains a serious knee injury and states to the school nurse, "I will never get to college if I don't receive a basketball scholarship"
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