A hospice nurse is planning care for a client who follows traditional American Indian practices. Which of the following actions should the nurse plan to take? (Select One or More)
Offer to face the client's bed toward the east.
Provide direct eye contact when communicating with the client's family.
Develop a list of appropriate hot and cold food choices.
Discuss the safe use of herbal medications.
Correct Answer : A
The correct answer is Choice A because, "Offer to face the client's bed toward the east." This is the correct answer because traditional American Indian practices include spiritual and cultural beliefs that may require facing the client's bed towards the east.
Choice B is wrong because, "Provide direct eye contact when communicating with the client's family," is not the correct answer because direct eye contact may be seen as disrespectful in some American Indian cultures.
Choice C is wrong because, "Develop a list of appropriate hot and cold food choices," is not the correct answer because it is not specific to traditional American Indian practices.
Choice D is wrong because, "Discuss safe use of herbal medications," is not the correct answer because it is not specific to traditional American Indian practices and may be considered invasive or disrespectful in some cultures.
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Related Questions
Correct Answer is C
Explanation
The correct answer is Choice C because, "Evaluate the client's home environment." Since the client has a new prosthesis, the priority is to evaluate the client's home environment for safety and accessibility. Collaborating with a prosthetist to teach the client about care of the prosthesis (Choice A is wrong because) is important, but not the priority at this stage. Determining eligibility for a skilled nursing facility (Choice B is wrong because) and asking about insurance coverage for home health services (Choice D is wrong because) are important considerations, but not the priority assessment in this situation.
Choice A is wrong because: Collaborating with a prosthetist to teach the client about care of the prosthesis is important, but not the priority at this stage.
Choice B is wrong because: Determining whether the client is eligible to go to a skilled nursing facility is an important consideration, but not the priority assessment in this situation.
Choice D is wrong because: Asking about insurance coverage for home health services is an important consideration, but not the priority assessment in this situation.
Correct Answer is D
Explanation
The correct answer is Choice D because "Explore possible solutions with the partner." When a hospice nurse is concerned that the partner of a client is experiencing caregiver burden, the first step is to explore possible solutions with the partner. This involves assessing the partner's needs, concerns, and limitations, and working collaboratively to develop a plan of care that meets the needs of both the client and the partner. This may involve arranging for additional support, such as respite care or home health services, or modifying the care plan to make it more manageable for the partner.
Choice A is wrong because Suggesting assistive personnel visits daily to provide client care (Choice A is wrong because) may provide additional support, but it does not address the partner's caregiver burden.
Choice B is wrong because Teaching the partner about getting enough rest (Choice B is wrong because) may be helpful, but it does not address the underlying caregiver burden and may be perceived as dismissive of the partner's concerns.
Choice C is wrong because Encouraging the partner to invite family members to assist with client care (Choice C is wrong because) may provide additional support, but it assumes that the partner has family members who are available and willing to assist and does not address the underlying caregiver burden.
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