A nurse is working with a third-generation Iraqi American and is frustrated that the patient continues to rely on folk healing practices and neglects to take prescribed medication. Another nurse explains that this most likely reflects
a. a lack of understanding on the patient's part about treatment.
b. mistrust of the health system by members of this community.
c. poor language skills despite the patient's third-generation status.
d. the effect of transgenerational transmission of cultural beliefs.
D
Culture can transcend generations, which means that cultural beliefs can be transmitted from generation to generation, and this is a strong possible reason for the patient's adherence to traditional Iraqi cultural practices.
A lack of understanding certainly could be a cause of not adhering to treatment for any patient, but the fact that the patient is from a different cultural group and is using folk practices should lead the nurses away from thinking this might be a primary cause.
Members of minority communities sometimes do have a lack of trust in the formalized health care system in this country. However, this group probably does not have a sentinel event that would lead them to mistrust the health care system en mass.
The patient is a third-generation American, which means his or her grandparents were the immigrants. Language skills should be good within this patient's generational group, who were educated in American schools.
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