When providing care on an Indian reservation, the nurse has prioritized assessments for diabetes and fetal alcohol syndrome when working with residents of the reservation. How should this nurse's practice be best understood?
A) The nurse is correct in assessing for health problems that have a higher incidence and prevalence among this population.
B) The nurse is stereotyping American Indians as leading unhealthy lifestyles and abusing alcohol.
C) The nurse is performing cultural imposition of the majority American culture, and the accompanying beliefs around diabetes and alcohol use.
D) The nurse should seek specific permission from each client before proceeding with these assessments.
Ans: A
Because diabetes and fetal alcohol syndrome are known to have a higher incidence and prevalence among American Indians, Nurse K. is justified in reflecting this objective reality during health assessment. This action is rooted in epidemiology, not the inaccurate generalizations of stereotyping. Because the consequences of both problems are significant and objective, Nurse K. is not guilty of cultural imposition and specific permission for these assessments is not likely necessary.
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