A 77-year-old Hispanic woman is concerned that her 80-year-old husband, who has dementia is no longer able to speak English, and will therefore not be able to get care if she dies. Which is the best response by the nurse?
1. Offer to try to locate services that provide Spanish speaking clinicians.
2. Suggest that the family might want to pray for a solution to the problem.
3. Explain that the family will need to provide the care because care for Spanish-speaking patients is not readily available.
4. Explain that the idea of care that addresses a dementia patient's declining language abilities is unreasonable and it is important that the spouse adjust her expectations.
Answer: 1
Explanation: Disparities in mental health care exist along both age and cultural lines. Older African-American, Hispanic, and Asian adults have far less access to mental health services than older White Americans. Specific efforts need to be made to find effective and appropriate care for these patients. Nurses are responsible for advocating for effective health care, not excusing its absence, providing suggestions that promote stereotyping, or suggesting that good care is not a reasonable expectation.
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