When a client states, "I only want an American doctor," the client is expressing cultural: ethnocentrism. Much medical vocabulary and terminology is difficult to translate into other languages. In addition, obtaining trained interpreters rather than bilingual members of the client's family or friends, however well-intentioned or convenient the latter might be, is important because interpretation of behavior goes beyond translation of words.
According to the The National Standards for Culturally and Linguistically Appropriate Services, hospitals that fail to provide trained interpreters for people who speak limited English or no English, or for deaf people who use sign language, are in violation of the law. Furthermore, hospitals that receive Medicare or Medicaid reimbursement are subject to Title VI of the Civil Rights Act, which prohibits recipients of federal funds from discriminating or denying benefits on the basis of race, color, or national origin. Hospitals are required to provide trained language interpreters for "the client who does not speak or understand the predominant language of the community" (The Joint Commission, 2014). Which person would the nurse be legally required to use to facilitate communication? trained language interpreter A nurse is providing care to a client who has limited understanding of the English language. This makes culture difficult for members to describe. Much of culture is implicit, a combination of habit and assumptions about the world, such that habits are enacted without reflection in the daily course of living. Some learning of culture is purposeful and some is absorbed without awareness.
Culture is also dynamic and changes as people come into contact with new beliefs and ideas. Which aspect about culture would be most important for the nurse to integrate into the client's care? Not all members of the same culture act and think alike.Ĭulture is shared unequally by its members that is, not all members of the same culture act and think alike.
"Despite continued advances in health care and technology, racial and ethnic minorities continue to have higher rates of disease, disability and premature death than non-minorities." A nurse is providing care to a client who is from a different culture. TERMS IN THIS SET (30) Persistent gaps between the health status of minorities and non-minorities are defined as: health disparities
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