The pediatric clinic nurse reinforces culturally competent care at an in-service. Which finding would be inappropriate to include as a common dermatologic effect of alternative medicine therapies?

Question

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The culturally competent nurse is aware that some alternative medicine practices of nondominant cultures in North America can present with dermatologic findings. Markings that appear to be human bites would require further follow-up as these are not common in alternative medicine. Although nurses should be aware of various cultural practices, any marks consistent with child abuse (eg, bite marks, cigarette burns, bruises in various stages of healing) should be reported to the appropriate authorities. (Option A) Garlic application involves placing crushed garlic directly on the skin. It is thought to heal infections but can cause contact dermatitis and burns on the wrists. This is appropriate to include in a culturally competent care in-service. (Option B) Cupping is used by many cultures to remove illness from the body. The mouth of a steam-filled cup is placed on the skin, causing circular, bruised blemishes. This is appropriate to include in a culturally competent care in-service. Cupping (Option D) Coining is believed by some cultures (eg, Chinese, Vietnamese) to remove illness from the body. A rounded surface (eg, coin, spoon) is firmly stroked on the lubricated skin of the back and can produce weltlike linear lesions. This is appropriate to include in a culturally competent care in-service. Coining Educational objective: To provide culturally competent care, nurses should be aware of alternative medicine practices that can present with dermatologic findings. Any marks consistent with child abuse should be reported to the appropriate authorities.

The Pediatric Clinic Nurse Reinforces Culturally Competent Care at an In-Service