The nurse is planning care for a client who is 82 years old, male and Hispanic. Which of the following should the nurse identify as potential conflicts when considering the cultural-care triad? Select all that apply.
1. Appropriate introductions between the nurse and client
2. Cultural differences in education among the caregivers
3. Difficulty accessing electronic health information by the client
4. Generational differences among the client, caregiver, and nurse
5. Language barriers between the nurse and the caregiver and client
2. Cultural differences in education among the caregivers
3. Difficulty accessing electronic health information by the client
4. Generational differences among the client, caregiver, and nurse
5. Language barriers between the nurse and the caregiver and client
Explanation: 1. When meeting a person for the first time, introduce yourself by your full name, and then explain your role. This helps establish a respectful relationship between the nurse, family and client and prevent conflict.
2. Many of the CNAs may be new immigrants and have difficulty speaking and understanding English. Both native and foreign-born CNAs may have limited understanding of the ethnic, cultural, and religious heritages and life trajectories of the older persons and nurses who, in turn, have a limited understanding of the backgrounds of these nursing assistants. This lack of understanding may lead to difficulties with cultural literacy for both older persons and caregivers and negatively impact access to culturally competent nursing care.
3. There is a demarcation in the older adult population's technological savvy where the middle-old (75—84) and oldest-old (85+) may not possess the needed technologic ability and comfort.
4. Worldviews tend to differ greatly between generations. Those who have high heritage consistency tend to have difficulty accepting perspectives of generations different from their own. This can be a source of conflict.
5. There is a significant disparity between the number of foreign-born U.S. residents who need a nurse who speaks their language vs. the number of nurses available who actually speak their language.
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