NRS 434 Topic 4 DQ 1

You are admitting a 19-year old female college student to the hospital for fevers.  Using the patient information provided, choose a culture unfamiliar to you and describe what would be important to remember while you interview this patient. Discuss the health care support systems available in your community for someone of this culture. If no support systems are available in your community, identify a national resource. 



Cultural competence and cultural awareness is needed in nursing especially when gathering information and assessing a patient to effectively ” empower and promote health” (Grand Canyon University, 2018). This sensitivity and respect to the patients enables the nurse to have a therapeutic assessment and a trusting relationship with the patient. For example, when caring for a 19 year old female with Muslim faith, it is important to know the specifics of the culture to provide the appropriate care. Muslim faith with Islamic beliefs that women must only be seen by female health care providers to protect privacy and to minimize eye contact especially from the opposite sex (Attum, et. al. 2021). Also “for Muslims, the belief of illness is a test from God and it is a trial for removal of sin, therefore when ill they may call for spiritual intervention (Attum, et. al, 2021). For nurses unfamiliar with the culture, it may be a good advice to inquire with the patient or any accompanying family their cultural norms and how they can be treated with respect and without judgement. The Islamic Center of San diego and the Muslim community Services of San Diego are two community resources that provide valuable resources and information regarding the cultural norms. 



Attum B, Hafiz S, Malik A, et al. Cultural Competence in the Care of Muslim Patients and Their Families. [Updated 2021 Sep 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: 


Grand Canyon University (Ed). (2018). Health promotion: Health & wellness across the continuum. Retrieved from 


Muslim Community Services of San DIego. Retrieved from: 


Hello Rizalina.  

Your work is detailed and impressive. The current health care system in US is highly culturally diverse and I agree with you that cultural competence and cultural awareness is required among nurses to help in accommodating the diverse patient needs and improve quality of health care (Sharifi et al., 2019). Nurses should be sensitive and acknowledge believes and values of patients that can impact their health and determine whether these believes and values can make patients to accept or refuse treatment. To establish patients’ believes and values, nurses should first develop rapport by enquiring patients’ views on matters that may present discomfort to the them to evade judgmental attitudes (Ferwerda, 2021). Moreover, nurses should encourage patients to express the religious and cultural issues and needs as they arise during the interview process. The other important thing in cultural competence care is to develop a culture of seeking clarifications when in doubt. Cultural diversity tends to be associated with some issues that a nurse may not understand. As such, nurses should always ask for clarification to help them to support and respect the patient needs (Wakefield et al., 2021).  



Ferwerda, J. (2021). How to Care for Patients from Different Cultures. Retrieved from 

Sharifi, N., Adib-Hajbaghery, M., & Najafi, M. (2019). Cultural competence in nursing: A concept analysis. International journal of nursing studies, 99, 103386. 

Wakefield, M., Williams, D. R., & Le Menestrel, S. (2021). The future of nursing 2020-2030: Charting a path to achieve health equity. National Academy of Sciences. 





Many people move abroad for work, for relationships, or simply for adventure. Most people move to different countries due to unrest and political issues in their country, looking for a better life for their families. As a result of the migration and immigration, countries are becoming more diverse, both culturally and demographically. Health care systems and professionals should be educated regarding cultural differences in order to provide adequate care and treatment to patients with diverse cultural values, behaviors and beliefs. Cultures around the world have beliefs about illness and health that originate from the way they perceive the world. Health care providers must learn to treat patients from other backgrounds in a culturally competent manner, being mindful of the fact that non-visible aspects of culture can significantly influence the treatment process [7-10] Health belief systems are divided into three major categories: supernatural, holistic and scientific, each with its own corresponding system of related beliefs. The supernatural belief system is predominated by supernatural forces, good and evil sorcery, and God. In this tradition, the ill person is considered a victim of punishment rendered by a supernatural being or power. Treatment is usually carried out by healer practitioner, who are believed to have supernatural powers and the strength to ward off the evil spirit, which possess and torture the body and soul of the ill person [4, 7-9] This tradition is characteristic of Vietnam. 

County of Santa Clara Vietnamese American Service Center (VASC) The service center model will bring key County agencies together, to work in collaboration and address the overall needs of the community. The service center delivers integrated, accessible and culturally responsive social and health services to support the local community, specifically the Vietnamese- American community. 


Communicating with patients from different culture: Intercultural medical interview 

County of Santa Clara Vietnamese-American Service Center (VASC) 



Hello Valencia. 

You have provided an outstanding work. Indeed, the American society is highly culturally and religiously diverse. Culture is an intricate concept, which entails values, beliefs, behaviors, and how people understand their world. In health care system, managing cultural differences is crucial for provision of high-quality health care.  Culture has a great influence on how patients respond to illness and treatment. In this multicultural society, various customs may cause confusion and misunderstanding in health care provision, which may compromise trust and compliance among patients (Wakefield et al., 2021).  Dealing with patients’ unique religious and cultural needs can be challenging. It is possible to accidentally offend patients or their families by being unaware of their cultural practice (Sharifi et al., 2019). Moreover, daily routines in the society such as eye contacts, health-beliefs, compliments, non-verbal communication, personal space, decision-making, modesty, and health care practices tend to differ significantly between cultures and religions. As such, when conducting patient interview, it is important to be aware of patient-specific cultural and religious practices and values (Brooks & Hopkins, 2017). Moreover, nurses should be aware of their cultural identifications to enable them control their personal bias that may compromise therapeutic relationship.  


Brooks, R. T., & Hopkins, R. (2017). Cultural mistrust and health care utilization: The effects of a culturally responsive cognitive intervention. Journal of Black Studies, 48(8), 816-834. 

Sharifi, N., Adib-Hajbaghery, M., & Najafi, M. (2019). Cultural competence in nursing: A concept analysis. International journal of nursing studies, 99, 103386. 

Wakefield, M., Williams, D. R., & Le Menestrel, S. (2021). The future of nursing 2020-2030: Charting a path to achieve health equity. National Academy of Sciences. 



Culture plays a significant role in healthcare delivery. Nurses need to exhibit culturally competent care by asking about the patients’ cultural backgrounds to ensure appropriate and effective care delivery. Hindu’s hold their culture in high esteem, and it is essential to recognize that when admitting a young Hindu. Through this, the nurse can include the Hindu culture in the plan of care to ensure culturally competent care is delivered (Falkner, 2018). The Hindu culture recognizes family in healthcare decision-making. The family member who will help in decision-making should be clarified. Whether Western or Ayurvedic treatments, the patient preference of treatment should be enquired. The complete list of medications should be asked. Does she use herbal medicine?. This will help to avoid drug-drug interactions. Knowing how the patient handles pain will also be essential (Queensland Health, 2021). The nurse would ask the patient the gender she prefers to take care of her. They usually ask for same-gender healthcare professionals because of modesty. As a nurse, asking how she will want to keep her sacred items and how she would like to pray while on admission is vital. Asking about the diet restrictions or if the patient is a vegetarian is also essential (Swihart et al., 2021). 

BHT AAPIO clinic provides free healthcare for Hindus in Columbus, Ohio. It is a team of doctors and nurses who has come together with support from the Bharatiya Hindu temple. They provide acute health services, prescriptions, lab work, electrocardiogram, and Pulmonary function tests (BHT clinic, n.d.). This place serves as one of the comfortable places where they get care according to their religious practices. 


BHT clinic. (n.d.). BHT Clinic. 

Falkner, A. (2018). Cultural awareness. In Grand Canyon University (Eds.), Health promotion: 

Health & wellness across the continuum. 

Queensland Health. (2011). Health care providers handbook on Hindu patients. Division of the Chief Health Officer, Queensland Health. Brisbane. 

Swihart, D. L., Yarrarapu, S. N. S., & Martin, R. L. (2021). Cultural religious competence in clinical practice. In StatPearls [Internet]. StatPearls Publishing 



Hello Daniel.  

This is an exceptional work. I agree with you that culture plays a significant role in healthcare delivery. As such, nurses need to exhibit culturally competent care. Patients’ values, beliefs, and behaviors are influenced by factors such as religion, language, ethnicity, mental ability, race, and gender. Cultural competence entails the ability of the provider and the systems to understand and incorporate cultural intelligence into the health care delivery. The objective of provision of cultural competent health care is to deliver consistent quality of care to all patients, irrespective of their cultural or religious background (Henderson et al., 2018). Becoming aware of the cultural and religious differences during patient interview is essential in building mutual understanding and respect that enhances patient trust, fosters more inclusive health care responsibilities, and increases patient integration on social level (Biles, 2020). For instance, when dealing with Hindu patients like in the present case, cultural competence care can be improved by integrating Hindu culture-specific values into health promotion. Some topics that nurse can point during interview include dietary needs, prayer and meditation, bathing and cleanliness, and astrological beliefs. Moreover, nurse can encourage family to participate in making health decisions since Hinduism perceives individual needs in a broader context of family, environment, and culture (Hall, 2017).  


Biles, J. (2020). Cultural competence in healthcare: Our learning from 2017-2020 will shape our future. Australian Nursing and Midwifery Journal, 26(11), 20-25. 

Hall, L. (2017). A guide to stoma care for Hindu patients. Gastrointestinal Nursing, 15(7), 16-18. 

Henderson, S., Horne, M., Hills, R., & Kendall, E. (2018). Cultural competence in healthcare in the community: A concept analysis. Health & Social Care in the Community, 26(4), 590-603. 


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