A community health nurse is planning care for a group of migrant workers. The nurse should plan to engage in which of the following activities when assessing the clients' culture?

Ask for assistance from local spiritual leaders if there is a language barrier.

Collect all the data on the first visit with the workers.

Interview community leaders for a perspective of community life.

Incorporate one's implicit bias into planned delivery of care.

Answer and Explanation

The Correct Answer is C

A. Ask for assistance from local spiritual leaders if there is a language barrier:

While engaging local spiritual leaders can be beneficial for understanding cultural nuances, addressing language barriers is a separate issue. Seeking assistance from interpreters or language services would be more appropriate for overcoming language barriers.

B. Collect all the data on the first visit with the workers:

Collecting all data on the first visit may be overwhelming and may not allow for the establishment of trust and rapport with the migrant workers. A more gradual and respectful approach to data collection is often advisable in cross-cultural nursing care.

C. Interview community leaders for a perspective of community life.

Interviewing community leaders provides valuable insights into the cultural context, norms, and values of the migrant workers. Community leaders often have a deep understanding of their community's dynamics, which can guide the nurse in providing culturally competent care.

D. Incorporate one's implicit bias into planned delivery of care:

This statement is not appropriate. Implicit bias should be recognized and actively addressed, rather than incorporated into care. Culturally competent care involves recognizing and challenging one's biases to ensure fair and equitable treatment for all individuals, regardless of their cultural background.

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Correct Answer is C

Explanation

A. Request a referral for a social worker.

While involving a social worker may be beneficial for additional support, the initial step should be to discuss the client's wishes with the healthcare provider.

B. Instruct the client that they need to change their advance directives first.

Changing advance directives is a process that involves legal and ethical considerations. However, the immediate concern is to have a conversation with the healthcare provider to understand the client's current wishes.

C. Discuss the client's wishes with their provider.

Explanation: When a client expresses a desire to discontinue treatment, it is important for the nurse to facilitate open communication between the client and their healthcare provider. This discussion allows the healthcare provider to explore the client's reasons for refusing further treatment, provide information about potential consequences, and address any concerns. It ensures that the client's wishes are fully understood, and decisions are made collaboratively with the healthcare team

D. Ask the client why they do not want to continue treatment.

While understanding the client's reasons is important, initiating a conversation with the healthcare provider should precede further exploration of the client's preferences and concerns.

A. Speech-language pathologist B. Physical therapist C. Restorative aide. D. Occupational therapist

Correct Answer is A

Explanation

A. Speech-language pathologist

Dysphagia, difficulty swallowing, is a concern that often requires the expertise of a speech-language pathologist. Speech-language pathologists specialize in assessing and treating communication and swallowing disorders. They can work with individuals who have had a stroke to improve their swallowing function and reduce the risk of aspiration.

B. Physical therapist

Physical therapists primarily focus on improving mobility, strength, and function. While physical therapists play a crucial role in stroke recovery, they may not be the primary resource for addressing dysphagia.

C. Restorative aide

Restorative aides are often involved in assisting with exercises and activities that aim to restore functional abilities. However, they may not have the specialized training needed for managing dysphagia.

D. Occupational therapist

Occupational therapists focus on helping individuals regain skills needed for daily living activities. While they may be involved in aspects of stroke recovery, addressing dysphagia typically falls within the scope of a speech-language pathologist's expertise.

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A community health nurse is planning care for a group of migrant workers. The nurse should plan to engage in which of the following activities when assessing the clients' culture?

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