Which action is best for the nurse to take to ensure culturally competent care for an alert, terminally ill Filipino patient?
a. Ask the patient and family about their preferences for care during this time.
b. Let the family decide whether to tell the patient about the terminal diagnosis.
c. Obtain information from Filipino staff members about possible cultural needs.
d. Remind family members that dying patients prefer to have someone at the bedside.
ANS: A
Because cultural beliefs may vary among people of the same ethnicity, the nurse's best action is to assess the expectations of both the patient and family. The other actions may be appropriate, but the nurse can only plan for individualized culturally competent care after assessment of this patient and family.
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