A woman from an Arab culture is in labor and delivery. Her husband insists he must stay with her and will not allow her to receive any analgesia. Which action by the nurse is the most appropriate?
1. Inform the husband that he must sign a release of responsibility to avoid future litigation against the hospital.
2. Allow this request, and be available in the event the request changes.
3. Inform the husband that it is his wife's choice whether to receive analgesia.
4. Allow the request, but inform the husband that the primary health care provider will make the final decision regarding analgesia.
Correct Answer: 2
Rationale 1: When cultural differences are allowed and supported, clients are not as likely to initiate litigation.
Rationale 2: Nurses must allow and support cultural differences. The husband's decisions must be respected as long as the client's safety is not jeopardized.
Rationale 3: In some cultures, the husband, not the wife, makes the choices for health care.
Rationale 4: In some cultures, the husband, not the primary health care provider, makes the health care decisions.
Global Rationale: Nurses must allow and support cultural differences. The husband's decisions must be respected as long as the client's safety is not jeopardized. When cultural differences are allowed and supported, clients are not as likely to initiate litigation. In some cultures, the husband, not the wife, makes the choices for health care. In some cultures, the husband, not the primary health care provider, makes the health care decisions.
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