A female client is being discharged after a lengthy hospitalization. The family is from a male-dominated culture. Before discharge instructions are given, which action should the nurse take?

1. Make sure instructions are understood by the client.
2. Arrange for teaching when the spouse is available.
3. Make sure that the physician gives the instructions.
4. Ask the client when the best time for teaching would be.


Correct Answer: 2
Rationale 1: Regardless of cultural considerations, it's always necessary to make sure that the instructions are understood.
Rationale 2: The nurse needs to identify who has the "authority" to make decisions in a client's family. If the decision maker is someone other than the client, as in this situation, the nurse needs to include that person in health care discussions. In this situation, we do not know if the nurse is male or female, so the best answer given with the information that is known is to arrange for teaching when the spouse is available.
Rationale 3: This will not address the cultural issue of male dominance.
Rationale 4: This will not address the issue of male dominance.

Nursing

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