A home health nurse's patient caseload is ethnically diverse. Which interventions show understanding of cultural variables? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. Discussing cultural preferences for herbs and spices and possible alternatives when drug interactions are possible
2. Assessing the patient's response to acupuncture for pain
3. Discussing the patient's beliefs regarding treatment
4. Notifying the health care provider of the patient's intentions to consult with a medicine man for spiritual guidance
5. Removing the patient's collection of herbs to decrease the risk of an adverse effect when taken with Western medicine
1,2,3
Rationale 1: It is important to assess the cultural use of herbs and spices and determine if there may be any interactions with prescribed medications.
Rationale 2: The nurse can assess the patient's response to acupuncture and interpret the effects on prescribed treatment with respect for the patient's culture.
Rationale 3: Cultures view health and wellness in different ways. An understanding of the patient's cultural beliefs allows the nurse to provide better support and guidance.
Rationale 4: As long as the medicine man does not "prescribe" any herbs, the nurse does not have to discuss this with the provider.
Rationale 5: The nurse need not remove the herbs but rather should discuss possible adverse effects when the herbs are mixed with prescribed medications.
Global Rationale: It is important to assess the cultural use of herbs and spices and determine if there may be any interactions with prescribed medications. The nurse need not remove the herbs but rather should discuss possible adverse effects when the herbs are mixed with prescribed medications. The nurse can assess the patient's response to acupuncture and interpret the effects on prescribed treatment with respect for the patient's culture. Cultures view health and wellness in different ways. An understanding of the patient's cultural beliefs allows the nurse to provide better support and guidance. As long as the medicine man does not "prescribe" any herbs, the nurse does not have to discuss this with the provider.
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