At a local hospital, the postpartum care policy requires that nurses observe the mother during infant care to assess the mother's ability to care for the new baby and to promote bonding. A new mother expresses concern that in her country, all infant care is provided by other family members so that the mother can rest and recover. Which of the following actions would be taken by a culturally competent nurse?
Explain that the process of postpartum recovery does not require this much rest and require that she provide infant care.
Reinforce the importance of bonding and that all good mothers gladly assume these responsibilities.
State that she must abide by hospital policy because documentation of the mother's ability to give the infant care is required for discharge.
Allow family members to provide the newborn's care and assess the mother's knowledge of child care through discussion.
The Correct Answer is D
A. Explain that the process of postpartum recovery does not require this much rest and require that she provide infant care. This disregards cultural norms and imposes a Western view of postpartum care, which is not culturally competent.
B. Reinforce the importance of bonding and that all good mothers gladly assume these responsibilities. This is judgmental and does not acknowledge that bonding can occur in different ways, including through family support.
C. State that she must abide by hospital policy because documentation of the mother's ability to give the infant care is required for discharge. This approach is rigid and does not consider the patient's cultural background or alternative ways to assess knowledge.
D. Allow family members to provide the newborn's care and assess the mother's knowledge of child care through discussion. Cultural competence involves respecting diverse traditions and practices while ensuring safe patient care. In many cultures, postpartum care emphasizes maternal rest while family members care for the newborn. The nurse should assess the mother's knowledge without forcing her into an unfamiliar practice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Elevated growths with a "cauliflower" appearance: HPV lesions, or genital warts, present as raised, rough-textured growths resembling a cauliflower, often found in the genital and anal areas.
B. Thin-walled pustules that rupture to form honey-colored crusts: This describes impetigo, a bacterial skin infection, not HPV.
C. Vesicles that ulcerate and crust within 1 to 4 days: This describes herpes simplex virus (HSV) lesions, which differ from HPV warts in appearance and progression.
D. Solitary growth with elevated borders and a central depression: This describes basal cell carcinoma, not HPV-related lesions.
Correct Answer is B
Explanation
A. Allow patients to refuse medications: While patients generally have the right to refuse treatment, public health laws can override this right in cases of communicable diseases to protect public safety.
B. Place someone on house arrest for not being compliant with their TB medication: Under public health laws, states have the authority to enforce quarantine or isolation to prevent the spread of infectious diseases like tuberculosis (TB), especially if an individual refuses treatment.
C. Allow patients to have advance directives in place: Advance directives relate to personal healthcare decisions, not police power, which focuses on protecting public health and safety.
D. Arrest someone for using illegal drugs: While drug use is a legal issue, police power in public health is focused on disease control rather than criminal enforcement of drug laws.
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