A Hispanic American patient who is 26 weeks pregnant asks if her curandero, or folk healer, may accompany her to all future prenatal appointments. Which response by the nurse reflects respect for the patient's cultural beliefs?
1. "Yes, we will work as a team as much as possible in taking care of you."
2. "National law prohibits the inclusion of anyone who is unlicensed to practice health care from giving health-related advice."
3. "Because of the risks to your baby, we do not recommend that patients use alternative healthcare methods."
4. "We prefer that only the father of the baby and your relatives accompany you to your prenatal visits."
Correct Answer: 1
Rationale 1: During pregnancy and birth, cultural and spiritual practices, including alternative healers and caregivers, should be incorporated into prenatal care as much as possible.
Rationale 2: While certain disciplines require licensure and certification, numerous complementary and alternative healers provide health-related advice.
Rationale 3: Cultural competence includes incorporating the patient's cultural and spiritual beliefs into her care, while evaluating the potential negative health consequences of her healthcare beliefs.
Rationale 4: The patient is free to choose who accompanies her during prenatal visits.
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