A nurse has traveled overseas to provide relief for a community experiencing crisis after a natural disaster. Which concept will guide the nurse in planning care for these individuals?
1. Crisis is a universal human experience with manifestations similar in all cultures.
2. Interventions should be centered on the involvement of local community leadership.
3. Assessment of abnormal expressions of emotional pain should be the nurse's priority.
4. Interventions should be centered on the treatment of posttraumatic stress disorder (PTSD).
Answer: 2
Explanation: In intercultural situations, the nurse must provide culturally competent care with interventions centered on the involvement of local community leadership. How individuals perceive crisis can vary among cultures, as can manifestations. Local community leadership will have the greatest information about resources available locally and can provide valuable information on what community members will perceive as their greatest needs. How individuals express pain or respond to trauma may also vary, and nurses should work with members of the community to ensure they provide culturally competent care and not assess individual patients based solely on Western norms.
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