The nurse is performing a cultural assessment of an Asian family that has a child hospitalized for leukemia. What is the best technique for providing culturally competent care for this family?
Ask other Asians to explain their culture.
Hire an interpreter to explain the family culture.
Just ask the family about their culture and listen.
Research the culture and base care on findings.
The Correct Answer is C
Rationale:
A. Assuming all Asians have the same culture is a generalization and may not accurately represent the specific cultural background of the family in question.
B. Hiring an interpreter may be helpful for language translation but may not provide insights into the nuances of the family's cultural beliefs and practices.
C. Directly engaging with the family and listening to their perspectives allows for a better understanding of their specific cultural beliefs and preferences.
D. While research can provide valuable information, direct communication with the family is essential for truly understanding their cultural needs and preferences.
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Correct Answer is A
Explanation
Rationale:
A. If NSAIDs (nonsteroidal anti-inflammatory drugs) are ineffective in managing symptoms of JIA, the healthcare provider needs to be notified as other treatments, such as disease-modifying antirheumatic drugs (DMARDs) or biologics, may be necessary.
B. Warm compresses, rather than cool compresses, are typically recommended to relieve joint pain and stiffness in JIA.
C. While rest is important, excessive napping can lead to stiffness and decreased mobility. Regular, gentle activity is encouraged to maintain joint function.
D. High-impact exercises like running may be too strenuous for children with JIA and can exacerbate joint pain. Low-impact activities such as swimming or cycling are generally recommended to promote range of motion without putting undue stress on the joints.
Correct Answer is B
Explanation
Rationale:
A. Regular testing of urine for glucose is not specific to nephrotic syndrome and is more relevant for managing diabetes.
B. Weighing the child on the same scale each day is essential for monitoring fluid status and detecting early signs of fluid retention or loss, which are critical in managing nephrotic syndrome.
C. Increasing oral fluid intake may not be recommended due to the risk of fluid retention and edema, which are common in nephrotic syndrome.
D. While monitoring potassium levels is necessary when on diuretics like furosemide, a low-potassium diet is not routinely required unless hyperkalemia is present.