An older adult client from a collectivistic culture is nearing the end of life. The client's adult children insist on making all medical decisions, stating it is their cultural responsibility. The client appears passive but has previously expressed wishes for certain treatments. How should the nurse best navigate this situation?
A
Respect the family's cultural practice and allow them to make all decisions without further discussion.
B
Inform the family that the client has the right to autonomy and must make their own decisions.
C
Facilitate a family meeting to explore the client's wishes, while respecting the family's role in decision-making.
D
Document the conflict and defer to the ethics committee for a resolution.
✓ Correct Answer: Option C
This approach balances cultural sensitivity with patient advocacy. It allows for open dialogue where the client's voice can be heard within the family context, fostering shared decision-making rather than imposing one cultural norm over another.
💡 Why is C) the correct answer?
The correct answer to the question "An older adult client from a collectivistic culture is nearing the end of life. The client's adult children insist on making all medical decisions, stating it is their cultural responsibility. The client appears passive but has previously expressed wishes for certain treatments. How should the nurse best navigate this situation?" is Option C: Facilitate a family meeting to explore the client's wishes, while respecting the family's role in decision-making..
The other options — A) Respect the family's cultural practice and allow them to make all decisions without further discussion., B) Inform the family that the client has the right to autonomy and must make their own decisions., D) Document the conflict and defer to the ethics committee for a resolution. — are incorrect for this NCLEX-RN Exam Prep question. As explained above: This approach balances cultural sensitivity with patient advocacy. It allows for open dialogue where the client's voice can be heard within the family context, fostering shared decision-making rather…
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