Question

Mark is a new nurse on a medical-telemetry unit. His patient Juan is an 88-year-old male with end-stage chronic obstructive pulmonary disease. Juan’s family is present during his hospitalization, taking turns spending time with him. At times, there are as many as 10 family members in the room, making it difficult for Mark to provide patient care. He complains to his charge nurse that the family is driving him nuts, asking so many questions all the time and interfering with his care. The charge nurse asks Mark to describe the Mexican culture in relation to health care. Mark replies, “It doesn’t matter. He’s my patient and I need to be able to follow the standards of nursing practice just like with every other patient.” 1. What barrier to cultural care does Mark exhibit? 2. What could Mark do to increase his cultural knowledge and cultural skills? 3. What are the suggestions as noted in the Nursing Today textbook Chapter 21 that Mark could use when gathering cultural data? 4. Describe how the CULTURE approach (Box 21-1 in Nursing Today textbook) could increase Mark’s cultural competence.

Answer 1

Ans 1. Mark exhibiting barrier to cultural care are :

1. Language barrier : Mark don't understand mexican language
2. Collectiveness of mexicans : due to this nature all family members gather near the patient which make the care difficult
3. Overprotective nature : family members ask questions in Excessive as overprotective behaviour which is problematic for nurses

Ans 2. Steps to increase cultural knowledge and skills :

1. Improve communication and language
2. Self assessment of cultural competence
3. Engage in cross cultural interaction with patients
4. Participate in online interaction with person of different communities to understand them and their culture

Ans 3. : suggestions for gathering cultural data :

1. Try to get all the minor information about cultures
2. Try to understand the culture
3. Don't neglect their beliefs or call them illogical

Ans 4 : Understanding of cultural beliefs, make u competent to respect the culture and its belief, u understand why and how persons connected to culture.

So if u understand and respect someone's culture u won't neglect it and give them care amd talk to them in their way how his cultural beliefs are, which makes you more competent