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. Interrupted family processes related to shift in family roles secondary to demands of illness.
2. Fear related to separation from support system during hospitalization.
3. Noncompliance related to impaired verbal communication secondary to recent immigration from a non-English-speaking area.
4. Spiritual distress related to discrepancy between beliefs and prescribed treatment.
3
Rationale 1: When one family member becomes ill, roles of other family members may be modified to meet the family's needs. This is not a cultural variation.
Rationale 2: Any individual separated from her support system may experience fear. This is not a cultural variation.
Rationale 3: Noncompliance carries a negative bias. The inability to communicate effectively due to language differences does not mean the patient and/or family are noncompliant.
Rationale 4: If cultural beliefs are not in agreement with the treatment plan, this could lead to spiritual distress. It does not illustrate bias.
Global Rationale:
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