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Case Study: Elam Avromovitch, a 76-year-old man, is visiting his son's family in the United States when he develops chest pain. A native of Israel and a follower of ultra-Orthodox Judaism, Mr. Avromovitch speaks Yiddish as his first language. Tests reveal he is having an acute myocardial infarction and needs intervention in a cardiac catheterization lab. The nurses on the cardiac floor are attempting to prepare him for the procedure while his son translates. The nurse attempts to call for a translator for the consent, but the son declines a translator, stating that he will serve instead. When attempting to undress Mr. Avromovitch for a required admission skin assessment before the procedure, the patient starts to "Shoo" away the female nurses and tries to cover up. The son explains that women are not permitted to see him undressed, particularly women who are not of his faith.
Questions: Answer the following questions:
1. Is the use of the son for interpretation valid for a legal consent for treatment? Explain why or why not.
2. How can the nurse respect Mr. Avromovitch's diversity requirements while maintaining facility policy and meeting the patient's healthcare needs?
3. What nursing diagnoses and interventions would be appropriate for Mr. Avromovitch's plan of care?
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