A nurse at a community clinic is preparing an educational guide about cultural variances in expression of pain. Which of the following information should the nurse include?
Native American cultural practices include being outspoken about pain.
Puerto Rican cultural practices include the view that outspoken expressions of pain are shameful.
Middle Eastern cultural practices include hiding pain from close family members.
Chinese cultural practices include enduring pain to prevent family dishonor.
The Correct Answer is B
Cultural variances in the expression of pain can impact the assessment and management of pain. It is important to recognize and respect these cultural differences to provide culturally sensitive care. Puerto Rican cultural practices consider the expression of pain as a private matter, and individuals may not express their pain openly, as it may be viewed as a weakness or shameful. In contrast, Native American cultural practices often consider pain as a sign of strength, and individuals may express pain openly to receive validation and support from their community. Chinese cultural practices emphasize the importance of stoicism, and individuals may endure pain to prevent family dishonor. Middle Eastern cultural practices may consider pain as a test of faith, and individuals may hide their pain from close family members to avoid burdening them. By understanding these cultural variances, nurses can assess pain more effectively and develop culturally sensitive pain management plans.
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Correct Answer is C
Explanation
. Autonomy. Autonomy is the ethical principle that upholds a patient's right to make their own healthcare decisions. In this scenario, the nurse acknowledges the patient's right to refuse treatment and informs them that they will support their decision. By doing so, the nurse is respecting the patient's autonomy and their right to make decisions about their own body and treatment.
Correct Answer is D
Explanation
." Eye health is an essential aspect of overall health, and many eye disorders and diseases can be asymptomatic. The American Optometric Association (AOA) recommends that adults aged 18-64 should have a comprehensive eye exam at least every two years. After age 65, the frequency of eye exams should be increased, depending on the individual's eye health status. During an eye exam, the optometrist or ophthalmologist evaluates the client's visual acuity, peripheral vision, and intraocular pressure, as well as examines the internal and external structures of the eyes to detect any abnormalities. The assessment of the retina is particularly important as it can reveal the presence of chronic diseases such as diabetes, high blood pressure, and macular degeneration.
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