The charge nurse is reviewing the care plans written by the unit's staff nurses. The charge nurse recognizes that the nursing diagnosis most likely to be construed as culturally biased and possibly offensive is:
1. Fear related to separation from support system during hospitalization.
2. Spiritual Distress related to discrepancy between beliefs and prescribed treatment.
3. Interrupted Family Processes related to a shift in family roles secondary to demands of illness.
4. Noncompliance related to impaired verbal communication secondary to recent immigration from non–English-speaking area.
4
Rationale 1: Fear related to separation from support system during hospitalization seeks to inform the culturally sensitive nurse on how to partner with the family more effectively.
Rationale 2: Spiritual Distress related to discrepancy between beliefs and prescribed treatment seeks to inform the culturally sensitive nurse on how to partner with the family more effectively.
Rationale 3: Interrupted Family Processes related to a shift in family roles secondary to demands of illness seeks to inform the culturally sensitive nurse on how to partner with the family more effectively.
Rationale 4: The phrase "impaired verbal communication" might be offensive because speaking a different language is not equivalent to being impaired, and noncompliance does not necessarily stem from misunderstanding.
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