The nurse is caring for a patient who is Anishinaabe. The patient asks the nurse to assist them in smudging. The most appropriate response by the nurse is:

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"The nurse is caring for a patient who is Anishinaabe. The patient asks the nurse to assist them in smudging. The most appropriate response by the nurse is:" This stems from culturally respectful practice, which centers on asking the patient how the nurse can support their cultural needs rather than making assumptions.
Option 1: "How best can I assist you". This response invites the patient to express their specific needs and preferences, demonstrating respect for their cultural ritual and autonomy. It avoids presuming what form of assistance is appropriate or required.
Option 2: "I will obtain traditional incense from the cultural coordinator and return to assist you". This choice involves assuming a particular method (incense) and bypasses asking the patient what they want or need, which may not align with traditional practices or the patient’s preferences. It also introduces a procedural step that may not reflect hospital policy or consent.
Option 3: "Hospital policy prohibits smudging. You will have to wait until discharge". This stance imposes a policy constraint without engaging the patient in a discussion about how the nurse can accommodate the ritual within the care setting. It undermines cultural needs and can damage trust by appearing inflexible or dismissive.
Option 4: "Nurses who are not Anishinaabe are not allowed to assist in this ceremony". This statement incorrectly generalizes roles and excludes the nurse from supporting culturally significant practices, which can create barriers to care and violate principles of patient-centered care and cultural safety. It also falsely implies exclusivity based on ethnicity rather than patient needs and institutional guidelines.
In summary, option 1 aligns with patient-centered care, cultural safety, and open communication, while options 2–4 introduce assumptions, restrict patient autonomy, or misrepresent policy and practice, reducing the likelihood of providing appropriate support for the patient’s cultural ritual.

The nurse is caring for a patient who is Anishinaabe. The patient asks the nurse to assist them in smudging. The most appropriate response by the nurse is:

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