An infant of African origin is being cared for by parents who immigrated to the United States 6 months prior. The mother is using an herbal paste to treat the baby's diaper rash. What should the nurse do to ensure cultural competence?

1. Instruct the mother to stop using the paste.
2. Ask the mother to explain the ingredients in the paste.
3. Provide the mother with another cream to use for the diaper rash.
4. Explain to the mother that herbal ingredients are harmful to the baby.


2. Ask the mother to explain the ingredients in the paste.

Explanation: 1. Instructing the mother to stop using the paste demonstrates cultural insensitivity by the nurse and should not be done.
2. To recognize cultural practices, the nurse must acknowledge that use of folk and home remedies are part of caregiving practices. Asking the mother what ingredients are in the paste allows the nurse to best evaluate what the mother is using, and then a determination of the benefit or detriment to the infant can be made in a nonjudgmental manner.
3. Providing the mother with another cream to use for the diaper rash demonstrates cultural insensitivity by the nurse and should not be done.
4. Explaining to the mother that herbal ingredients are harmful to the baby demonstrates cultural insensitivity by the nurse and should not be done.

Nursing

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