Question

Leininger (1991) identified three nursing decision and action modes to achieve culturally congruent care. These modes are "cultural care preservation or maintenance," "cultural care accommodation," and "cultural care repatterning." When assessing patients during the admission process, the nurse utilizes

a. These action modes in a distinct order.
b. These action modes individually, one at a time.
c. Only one action mode per patient.
d. All these action modes simultaneously.

Answer 1

Nurses use the culturally congruent care modes—cultural care preservation or maintenance, cultural care accommodation, and cultural care repatterning—simultaneously and flexibly to integrate into a patient's care plan during the admission process, providing personalized and effective care.

Step-by-step explanation:

The nursing decision and action modes identified by Leininger (1991) for achieving culturally congruent care do not have to be used in a specific order, individually, or exclusively one mode per patient. Instead, these modes—cultural care preservation or maintenance, cultural care accommodation, and cultural care repatterning—are intended to be employed flexibly and simultaneously. During the admission process, a nurse would evaluate which of these modes or combinations thereof align with the patient's cultural needs and preferences, and then integrate them into the care plan accordingly. This integrated approach allows for a more holistic and personalized nursing intervention that respects the patient's cultural background and enhances the effectiveness of care.