INSTRUCTIONS Cultural considerations at the end of life
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Cultural considerations at the end of life
General Purpose: The purpose of this learning activity is to provide information about cultural considerations related to end-of-life care. Learning Objectives: After reading this article and taking this test, you should be able to: 1. Identify cultural considerations related to end-of-life patient care. 2. Select culturally sensitive interventions related to end-of-life patient care.
- Cultural competency indicates the provider understands that illness
- may not be viewed in a negative way.
- must be diagnosed in terms of the patient's belief structure.
- occurs in a biopsychosocial context in response to health beliefs and practices.
- requires a specific treatment protocol regardless of the patient's belief system.
- The ANA position statement notes that knowledge of cultural diversity is vital to
- understand how cultural groups define health and wellness.
- explain to the patient the role of medication in managing illness.
- determine which family members to include in the decision-making process.
- decide on treatment for a specific illness.
- The Joint Commission developed new standards for culturally competent care in response to
- the ANA's position statement on cultural diversity.
- changes in Medicare regulations.
- the WHO's palliative care definition.
- the diverse needs of hospitalized patients.
- Which cultural group has a documented mistrust of the American healthcare system?
- American Indians
- Black Americans
- Which cultural group is less likely to formally prepare for the end of life?
- American Indians
- Eastern Europeans
- Black Americans
- What type of decision-making model is common in the Hispanic culture?
- The patient is the primary decision-maker.
- Decisions are made by immediate and extended family as a group.
- The family will defer to the physician for end-of-life decisions.
- The mother or matriarch is the primary decision-maker.
- Hispanics believe that planning for death
- will lead to its occurrence.
- is the best way to prevent an early death.
- is the responsibility of the entire family.
- should be done before illness occurs.
- Many Hispanics prefer to die
- privately, protecting their families from witnessing death.
- at home surrounded by family.
- in the hospital with medical care available.
- in the hospital with a clergyman in attendance.
- In the Chinese culture, the discussion of death
- occurs early in the treatment process.
- is usually considered forbidden and offensive.
- is designed to maintain hope and alleviate stress.
- must be directed by the head of the household.
- In traditional Chinese culture, who is responsible to provide care for the parents?
- eldest son
- youngest son
- eldest daughter
- youngest daughter
- Which of the following statements reflects the Muslim culture's view of death?
- Discussions about dying hasten death.
- Discussions of death and dying are forbidden.
- The decision for death comes from God.
- God determines death and therefore there is no need to seek medical attention when ill.
- Before discussing quality of life with the patient, the NP must first
- communicate with the patient's family.
- study the patient's culture.
- ask if he or she wishes to have the discussion.
- be self-aware.
- An interview with the patient about palliative care begins with questions about
- the meaning of life.
- the stage of the disease process.
- cultural influences.
- the patient's preferences for treatment.
- The goal of the palliative care interview is to
- establish trust, safety, and control.
- develop a treatment plan.
- support what the patient wants when the family is in opposition.
- help the patient accept that death is near.
- When discussing end-of-life care with the patient, the NP should always ask
- if an advance directive has been prepared.
- if the patient is ready to die.
- what the NP can do to help the patient achieve desired outcomes.
- if family and friends are supportive.
- In managing the patient's end-of-life care, the NP understands that
- the family knows what is best for the patient.
- the patient knows what is best for himself or herself.
- the physician makes the final care decisions.
- managing pain is the primary objective.
- Recommended communication techniques about end-of-life care include all except
- restructuring narratives.
- using metaphors.
- listening to meanings emerge.
- expecting culturally consistent responses.