Patient & Family-Centered Care Flashcards

A hospice nurse is caring for a patient whose family's cultural background discourages direct discussion of death with the patient. The nurse should:

Answer: Explore the family's cultural beliefs and negotiate a communication approach that respects them

Culturally competent care requires exploring and respecting cultural beliefs while ensuring the patient's own needs and preferences are not completely overridden.

A patient requests a specific religious ritual before death. The hospice nurse's first action should be:

Answer: Contact the hospice chaplain and facilitate access to appropriate religious support

The hospice chaplain is the appropriate interdisciplinary team member to coordinate religious and spiritual care aligned with the patient's traditions.

Which assessment tool is most appropriate to evaluate a hospice patient's spiritual distress?

Answer: FICA Spiritual History Tool

The FICA Spiritual History Tool assesses Faith, Importance, Community, and Address, making it appropriate for spiritual distress evaluation in hospice.

A hospice patient from a culture where the family is expected to make all medical decisions tells the nurse privately that she does want to know her prognosis. How should the nurse proceed?

Answer: Respect the patient's autonomous request and discuss the prognosis with her privately

A competent patient's right to information supersedes family cultural preferences; the nurse should provide the requested information while remaining sensitive.

When working with a family whose primary language is not English, the hospice nurse should:

Answer: Arrange for a professional medical interpreter for clinical conversations

Professional medical interpreters ensure accurate, unbiased communication and protect confidentiality in clinical settings.

A family member insists that the patient must be buried in specific clothing and asks the nurse to ensure this happens. This is an example of:

Answer: A cultural or religious end-of-life practice that should be documented and honored

Honoring cultural and religious end-of-life practices such as burial preparation is within the scope of patient-centered hospice care.

The BEST description of culturally competent hospice nursing is:

Answer: Adapting care practices to align with each patient's cultural values and preferences

Culturally competent care requires actively adapting practices, communication, and goals to align with each patient's unique cultural values.