A 76-year-old Hispanic woman has been admitted to the hospital. There are no advance directives in the chart. Which of the following questions will best prepare the nurse to begin a dialogue with this client about advance directives?
A) "With whom do you talk to about your health care decisions?"
B) "I see that you have no advanced directives on your chart, could you tell me about that?"
C) "Is there someone we should call to join us while we discuss your care?"
D) "Tell me about your living arrangements; do you live alone or with others?"
Ans: A
Nurses need to identify patterns of culturally influenced decision making in order to ask questions and obtain relevant information from clients of different cultures. Why there are no advance directives on the chart is not the place to start to open the conversation. Whether or not she lives with someone, inviting family to join reflects an emphasis on family caregiving consistent with the Hispanic culture.
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