The nurse is working with a woman newly enrolled in an English-as-a-second-language class. The nurse wants to teach the woman about the importance of hand washing before meals
The best way to assimilate the nurse's cultural values about hygienic nutrition is to: 1. Have the nurse model proper hand washing before examining the woman.
2. Provide written materials in English about hygiene and diet for the patient to take home.
3. Have the woman repeat her interpretation of the information that was taught.
4. Schedule a medical interpreter to accompany the patient to her next visit.
3
Rationale 1: Assimilation is described as adopting and incorporating traits of the new culture within one's practices. Information must be understood before it is assimilated. The purpose of modeled behavior might be misunderstood if it is not accompanied by an explanation.
Rationale 2: Written materials in English hold minimal value for patients with limited understanding.
Rationale 3: When an interpreter is not available, asking patients to repeat their understanding of what was taught reveals how concepts were understood.
Rationale 4: In working with families with limited English proficiency, it is optimal to have a medical interpreter present for the entire visit. When teaching has been done, the nurse has a responsibility to assess patient understanding; thus, an interpreter at the next visit will not help the nurse or the patient now.
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