Leininger (1991) identified three nursing decision and action modes to achieve culturally congruent care. These modes are "cultural care preservation or maintenance," "cultural care accommodation," and "cultural care repatterning

" When assessing patients during the admission process, the nurse utilizes a. These action modes in a distinct order.
b. These action modes individually, one at a time.
c. Only one action mode per patient.
d. All these action modes simultaneously.


D
Nurses are able to use any or all of these action modes simultaneously. These actions require that nurses have knowledge of the patient's culture and have the willingness, commitment, and skills to work with patients and families in decision making. The outcome sought through these actions and decisions is meaningful, supportive, and facilitative care as judged by the patient.

Nursing

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Antidepressants carry a "black box" warning about the increased risk of suicide in what age group?

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A patient is diagnosed with esophageal reflux. The nurse explains to the patient that there is an impairment in which structure?

1. Fundus 2. Duct of Wirsung 3. Cardiac sphincter 4. Antrum

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The ability or inability to reach what most adults would consider to be reasonable conclusions or resolutions is called:

a. Alzheimer's disease b. stroke-related dementia c. senility d. decisional capacity or incapacity

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While supervising a student nurse who is providing patient care, a nursing instructor intervenes when hearing a student nurse tell a patient:

1. "I will be happy to help you with your bath if you are ready." 2. "You don't want me to help with your bath now, do you?" 3. "Would you like me to give you a back rub when I help you with your bath?" 4. "Would you like help with your bath now, or would you prefer that I come back in an hour?"

Nursing