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 B
Explanation
A. Clients with HIV infection are encouraged to use condoms to protect sexual partners. This is an example of primary prevention, which aims to prevent disease transmission before it occurs.
B. Health care workers are required to have a tuberculosis skin test or chest X-ray. Secondary prevention involves early detection and screening to identify disease in its early stages before symptoms develop or to prevent progression. TB screening (skin tests or chest X-rays) allows for early identification and treatment, preventing further transmission and severe disease.
C. Health care workers are encouraged to receive annual vaccinations for influenza. This is also primary prevention because vaccinations help prevent initial infection.
D. Clients with HIV infection are given medications to improve immunological response. This represents tertiary prevention, which focuses on managing existing disease to prevent complications.
Correct Answer is C
Explanation
A. Study the beliefs and traditions of persons living in other cultures: While learning about other cultures is important, it should follow self-reflection to prevent ethnocentric judgments.
B. Complete a survey of all the various ethnicities represented in the nurse's community: This provides demographic knowledge but does not help the nurse develop personal cultural competence.
C. Consider how the nurse's own personal beliefs and decisions are reflective of his or her culture. Cultural competence begins with self-awareness. Nurses must first recognize how their own cultural background, beliefs, and biases influence their interactions with patients before effectively understanding and respecting others' cultures.
D. Invite a family from another culture to join the nurse for an event: While engaging with diverse groups is beneficial, it is not the first step in cultural competence.
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