Case Studies, Chapter 5, Cultural Diversity

You are a nurse caring for a 53-year-old married Muslim woman who is 2 days postoperative for extensive abdominal surgery. She has complicated dressing changes three times daily, which require at least two staff to complete. Her husband is by her bedside, when he is not at work, and is very caring and attentive. The work schedule for tomorrow indicates that the LPN and nursing assistant on your team will be male. What are your actions to ensure culturally competent care? (Learning Objectives 2 and 5)

What patient information is pertinent to foster culturally competent care?

What questions should you ask yourself when caring for this patient?

What steps would you take to provide culturally competent care?


You are a nurse caring for a 79-year-old man, a retired railroad worker who was admitted with dizziness and a history of falling. During your shift, your nursing assistant reports (with frustration) that the patient refuses to use his urinal while in bed and insists on standing bedside or walking to the bathroom to eliminate. The assistant requests a physician’s order for urinal use in bed only. What are your appropriate actions in this scenario? (Learning Objective 6)

What questions should you ask yourself in this situation?

What teaching (and to whom) could be involved in resolving the situation?

What factors could be inhibiting cultural sensitivity?