The charge nurse is reviewing the care plans written by the unit's staff nurses. The charge nurse recognizes that the NANDA nursing diagnosis most likely to be construed as culturally biased and possibly offensive is:

1. Fear related to separation from support system during hospitalization.
2. Spiritual Distress related to discrepancy between beliefs and prescribed treatment.
3. Interrupted Family Processes related to a shift in family roles secondary to demands of illness.
4. Noncompliance related to impaired verbal communication secondary to recent immigration from non–English-speaking area.


4
Rationale:
1. This option seeks to explain how the culturally sensitive nurse can partner with the families more effectively.
2. This option seeks to explain how the culturally sensitive nurse can partner with the families more effectively.
3. This option seeks to explain how the culturally sensitive nurse can partner with the families more effectively.
4. The phrase "impaired verbal communication" might be offensive because speaking a different language is not equivalent to being impaired, and noncompliance does not stem from misunderstanding.

Nursing

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