Which nursing action best demonstrates cultural competence in end-of-life care?

Discussing advance directives with the patient to ensure their wishes are documented

Consulting with the patient's family about their preferences for funeral arrangements

Encouraging the patient to participate in religious rituals and ceremonies important to their cultural beliefs

Administering pain medication as prescribed to a terminally ill patient

Answer and Explanation

The Correct Answer is C

A. While discussing advance directives is important for ensuring patient wishes are documented, it does not specifically address cultural competence in end-of-life care.
B. Consulting about funeral arrangements is important but focuses on post-death logistics rather than the patient’s current end-of-life care preferences.
C. Encouraging participation in religious rituals and ceremonies shows respect and support for the patient’s cultural beliefs, demonstrating cultural competence in providing holistic care.
D. Administering pain medication is a standard practice in end-of-life care and important for comfort but does not specifically address the cultural aspects of the patient’s care.

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Correct Answer is B

Explanation

A. Informing the partner they are unable to care for the client without further assessment and support is not appropriate.
B. Consulting case management is crucial to evaluate the home care situation, including the partner’s ability to provide care, and to arrange appropriate resources or support services.
C. Referring for occupational therapy is important for rehabilitation but does not address the overall home care planning or the partner’s capability to provide care.
D. Facilitating discharge to home without assessing the adequacy of home care arrangements could put the client at risk, so consulting case management is a more comprehensive approach.

A. A 35-year-old male with a family history of prostate cancer B. A 58-year-old female with chronic hepatitis A C. A 52-year-old male with diabetes mellitus for the past 5 years D. A 45-year-old female with human immunodeficiency virus (HIV)

Correct Answer is A

Explanation

A. The ecological model of health care focuses on multiple levels of influence, including individual, interpersonal, organizational, community, and societal factors. A 35-year-old male with a family history of prostate cancer is a primary target because early intervention and prevention strategies can be tailored based on genetic and lifestyle factors.
B. A client with chronic hepatitis A would benefit from management within a clinical setting rather than an ecological model, which is more preventive and community-focused.
C. A client with established diabetes mellitus might be managed through medical treatment and lifestyle changes, which are typically individual-focused rather than ecological.
D. A client with HIV would require specialized care and management, which is more focused on medical and individual needs rather than the broader ecological approach.

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Which nursing action best demonstrates cultural competence in end-of-life care?

Nursing Test Bank

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A nurse is admitting a client who has a hip fracture from a recent fall at home. During the admission interview, the client's partner, who is frail, informs the nurse that they will be the client's caregiver upon discharge to home. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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