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 use visual aids, demonstrations, and examples to supplement verbal information, as this can help to enhance comprehension, retention, and application of health education among clients who may have language barriers, low literacy skills, or different learning styles.

Incorrect options:

A) Use medical jargon and technical terms to demonstrate expertise and credibility. - This is an incorrect strategy, as it may confuse or intimidate clients who are not familiar with medical terminology or concepts, and create a power imbalance between the nurse and the clients.

C) Use a standardized curriculum and teaching materials for all clients regardless of their culture or literacy level. - This is an incorrect strategy, as it may not address the specific needs, preferences, or values of each client, and fail to account for cultural variations in health beliefs, practices, or behaviors.

D) Use humor, sarcasm, and idioms to make the teaching more engaging and memorable. - This is an incorrect strategy, as it may offend or mislead clients who do not share the same cultural or linguistic context as the nurse, and cause misunderstanding or miscommunication.

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.