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Cultural Sensitivity and Health Literacy

1. Mr. Ocampo, 61, recently immigrated and works as a night janitor. He is being discharged after treatment for hypertension. The LPN gives him written instructions, but he folds the paper quickly without reading it. When asked if he has questions, he smiles politely and says, “Everything is fine,” although he previously asked basic questions about his medications. What is the LPN’s best approach to assess his health literacy without causing embarrassment? *
2. Mrs. Chen, 72, speaks only Mandarin and is being discharged with new heart failure instructions. No written materials are available in her language. Her son cannot be present during teaching. A colleague suggests “just showing her the pictures.” What should the LPN do first? *
3. A Haitian patient believes his hypertension is caused by “blocked blood energy” and prefers herbal teas, which he says are more natural. He nods when the LPN explains medication therapy but later tells his wife, “I’m not taking those pills. They’re chemicals.” Which action demonstrates culturally sensitive teaching? *
4. A Syrian refugee, recently resettled, refuses vaccination for his child because he fears government tracking. He looks anxious when asked to sign medical forms. The LPN notices the father flinches each time “records” are mentioned. What is the most culturally sensitive first step? *
5. Ms. Cardinal, a Cree woman, avoids follow-up appointments and states, “Doctors don’t listen to people like us.” She becomes quiet when the LPN suggests medication changes. She later tells a family member, “I don’t want them controlling my body.” Which nursing action best promotes cultural safety? *
6. An elderly Filipino man smiles and laughs softly while the LPN explains wound care. The student nurse thinks he “doesn’t care,” but the LPN suspects this may be a cultural expression of embarrassment or discomfort. When asked if he can do the dressing at home, he hesitates and says, “Maybe.” What is the most effective strategy to assess his understanding? *
7. A patient from Morocco speaks limited French. His adult daughter insists on interpreting but repeatedly uses terms that oversimplify complex concepts. The LPN notices the patient looks confused when the daughter says, “Everything is fine, nothing serious,” although the diagnosis requires careful follow-up. What should the LPN do? *
8. A Muslim patient with iron-deficiency anemia is advised to increase iron-rich foods. When the LPN recommends certain fortified foods, the patient quietly says some items “are not allowed” but avoids giving specifics. He seems embarrassed discussing religious rules. How should the LPN proceed? *
9. Mrs. Leclerc, an elderly Vietnamese woman, uses herbal remedies and hot-cupping therapy for pain. She is prescribed warfarin and says she will “continue her herbs because they clean the blood.” Her son says the herbs are harmless. What is the LPN’s best response? *
10. A Korean patient avoids asking questions because he believes questioning healthcare providers is disrespectful. During teaching about postoperative care, he stays silent and simply bows his head. The LPN suspects he may not understand the instructions. Which approach best ensures comprehension while respecting cultural norms? *