Cultural Competence in End-of-Life Care
Cultural Competence in End-of-Life Care ( 4 Questions)
A nurse is working with a client who has a terminal illness and has chosen not to pursue any aggressive treatments. The client's culture values collectivism and harmony, and the client has expressed a desire to avoid any conflicts or disagreements with their family members. The nurse notices that some of the family members are unhappy or unsupportive of the client's decision. What is an appropriate nursing intervention for this situation?
The nurse should arrange a family meeting with the client and the health care team to discuss the goals of care and address any concerns or questions, as this can help to facilitate communication, understanding, and consensus among all parties involved. The nurse should also acknowledge and respect the client's culture, which values collectivism and harmony, and avoid creating or exacerbating any conflicts or disagreements within the family.
Provide individual counseling sessions for the family members who are unhappy or unsupportive of the client's decision and offer emotional support. - This intervention may be beneficial, but it may not be sufficient or effective in resolving the issue. The nurse should also consider the client's culture, which values collectivism and harmony, and involve all family members in the care planning or decision-making process.
Suggest alternative treatments or therapies for the client that may be more acceptable or appealing to the family members who are unhappy or unsupportive. - This intervention may be inappropriate or unethical, as it may undermine or disregard the client's decision and autonomy. The nurse should not try to influence or coerce the client or the family members into accepting any treatments or therapies that are not consistent with their goals, values, or beliefs.
Respect the client's decision and avoid involving the family members who are unhappy or unsupportive in the care planning or decision-making process. - This intervention may be respectful of the client's decision
Rationale: The nurse should arrange a family meeting with the client and the health care team to discuss the goals of care and address any concerns or questions, as this can help to facilitate communication, understanding, and consensus among all parties involved. The nurse should also acknowledge and respect the client's culture, which values collectivism and harmony, and avoid creating or exacerbating any conflicts or disagreements within the family.
Incorrect options:
B) Provide individual counseling sessions for the family members who are unhappy or unsupportive of the client's decision and offer emotional support. - This intervention may be beneficial, but it may not be sufficient or effective in resolving the issue. The nurse should also consider the client's culture, which values collectivism and harmony, and involve all family members in the care planning or decision-making process.
C) Suggest alternative treatments or therapies for the client that may be more acceptable or appealing to the family members who are unhappy or unsupportive. - This intervention may be inappropriate or unethical, as it may undermine or disregard the client's decision and autonomy. The nurse should not try to influence or coerce the client or the family members into accepting any treatments or therapies that are not consistent with their goals, values, or beliefs.
D) Respect the client's decision and avoid involving the family members who are unhappy or unsupportive in the care planning or decision-making process. - This intervention may be respectful of the client's decision