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For this assignment, the same word count applies (200 words for the original post. The 3 or 4 questions you develop for your colleagues will NOT be included in the word count, but please do not write paragraphs for your questions.

For this week’s assignment, you need to develop a cultural competence case study. In order to complete this assignment you will need to do the following:

Identify a cultural group
Create and describe a scenario in which an individual or family unit from this culture interfaces with the health care system (particularly an adult gerontology acute care nurse practitioner)
Develop 3-4 questions for your classmates to consider for your case study
Provide key takeaways for other AGACNPs when encountering a patient from this cultural group

Here is an example:
A 60-year-old, Native American male presents to the emergency room with jaundice, severe abdominal pain, nausea/vomiting. A diagnosis of pancreatitis is made. You are discussing the diagnosis and the treatment plan with the patient, who is alone in the room. Although he is alert, he is looking away from you and is staying quiet. When you are finished discussing things, he stays quiet for a period of time. After a long pause, he tells you that he does not want to use the therapies you suggest and wants to wait to start therapy.

Important concepts for the acute care nurse practitioner to consider when caring for Native American patients include:

Careful consideration is given to many situations. Give these patients time to think about the diagnosis and treatment plan (Esposito & Kahn-John, 2020).
Do not rush education or obtaining consent (Esposito & Kahn-John, 2020).
Loudness can be interpreted as aggressiveness and may make them defensive. Use a quiet and calm voice with interactions (Medical Staffing Solutions, 2020).
Ask them about their cultural health practices and incorporate them into treatment plan if possible (Esposito & Kahn-John, 2020).
Extended family is extremely important and if not present, could delay care or acceptance of treatment (Huff, 2021). Allow for the entire family to be involved in care if patient requests (Huff, 2021).

What are the potential reasons this patient does not want to undergo treatment at this time?
How would you address the refusal of treatment?
What cultural health practices do you anticipate will be important to this patient?
How would you accommodate family involvement if there is a visitor limit?


Esposito, M. L., & Kahn-John, M. (2020). How should allopathic physicians respond to Native American patients hesitant about allopathic medicine? American Medical Association Journal of Ethics, 22(10), E837-E844. (Links to an external site.)

Huff, C. (2021, January). Optimal hospital care for Native Americans. ACP Hospitalist. (Links to an external site.)

Medical Staffing Solutions. (2020, February 27). Cultural competency: Native American culture: Tips for travel nurses. The Gypsy Nurse. (Links to an external site.)


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Cultural Competence