A nurse is working with a client who has a terminal illness and is considering hospice care. The client's family is opposed to this option and wants the client to continue aggressive treatment. The nurse learns that the client and the family are from a collectivistic culture that values family harmony and decision-making. What should the nurse do to facilitate ethical and culturally sensitive care?

Rationale: The nurse should ask all of these questions to elicit information about the client's cultural identity, as they can help to capture the diversity and complexity of Hispanic/Latino culture, which encompasses various ethnicities, nationalities, languages, religions, and traditions.

Incorrect options:

A) What country or region of origin do you or your ancestors come from? - This is a partial question, as it may not reflect the full extent of the client's cultural identity, which may be influenced by other factors such as language, religion, or acculturation.

B) What language or languages do you speak at home or with your family? - This is a partial question, as it may not capture the nuances of the client's cultural identity, which may vary depending on their country or region of origin, generation, or education level.

C) What religion or spiritual beliefs do you practice or follow? - This is a partial question, as it may not account for the diversity of religious or spiritual expressions among Hispanic/Latino clients, who may belong to different denominations, sects, or movements within or outside of Christianity.

Rationale: The nurse should explore their feelings and thoughts critically and reflectively to identify their sources and effects, as this can help them to recognize and acknowledge their own cultural bias, understand how it may influence their perception and behavior toward the client, and take steps to minimize its impact on their care delivery.

Incorrect options:

A) Ignore their feelings and thoughts and focus on providing objective and standardized care. - This is an incorrect action, as it may prevent the nurse from addressing their own cultural bias, which may affect their ability to provide objective and individualized care that meets the client's needs and preferences.

B) Express their feelings and thoughts openly and honestly to the client and ask for feedback. - While open and honest communication is important in nursing, expressing negative feelings and thoughts about a client's culture directly to the client can be potentially harmful and disrespectful. It is essential for nurses to maintain professionalism and provide culturally sensitive care.

D) Change their feelings and thoughts by adopting a positive attitude and mindset toward the client's culture. - While it is important for nurses to approach their care with an open and respectful attitude, simply adopting a positive mindset may not address the underlying cultural bias. It is crucial for nurses to engage in self-reflection and critical thinking to understand and challenge their own biases effectively.