A clinic nurse is evaluating a child who has been treated for a cough and fever for several weeks, without resolution of the symptoms. The child and family are recent immigrants to America. What actions by the nurse are most appropriate? (Select all that
A.
Ask the parents about culturally relevant health-care practices.
B.
Assess the family's understanding of the illness and treatment.
C.
Investigate illnesses endemic to the family's native country.
D.
Tell the family members they must stop using herbal or folk treatments.
E.
Utilize a professional interpreter to communicate with the family.
ANS: A, B, C, E
Increased international travel and immigration require the nurse to be culturally sensitive and also aware of the possibility of a patient having a disease not commonly seen in the United States. In this scenario, the nurse should assess for culturally relevant health-care practices to ensure that the prescribed treatment is acceptable to the family members, investigate their understanding using a professional interpreter if needed, and research illnesses endemic to the family's country of origin. The nurse should not simply tell the family members that they cannot use herbal or folk remedies. The nurse should attempt to include these traditional methods of healing when possible.
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