A home health nurse is discussing how to meet the needs of a diverse client population with a newly licensed nurse. The nurse should include which of the following as an example of a nurse incorporating culturally competent care?
Integrating a client's desire to use acupuncture to manage pain into their plan of care.
Informing the guardian of a child that the use of cupping to prevent illness is a form of child maltreatment.
Using a family member as an interpreter when caring for a client who speaks a different language than the nurse.
Instructing a client who is pregnant and has gestational diabetes mellitus that they must avoid the use of herbal
The Correct Answer is A
Choice A reason: This demonstrates cultural competence by acknowledging and incorporating the client's cultural practices into their care plan.
Choice B reason: This statement does not demonstrate cultural competence but rather a lack of understanding and respect for the client's cultural practices.
Choice C reason: While family members can be helpful, using a professional interpreter is recommended to ensure accurate communication and to maintain confidentiality.
Choice D reason: Advising against the use of herbal teas does not reflect cultural competence. A culturally competent approach would involve discussing the client's beliefs and providing evidence-based guidance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
Rationale for Correct Findings:
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Parent smoking around the infant exposes the newborn to secondhand smoke, increasing the risk of respiratory infections and sudden infant death syndrome (SIDS). Smoking should be avoided in the infant’s environment.
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The prone sleeping position raises the risk of SIDS; current guidelines recommend placing infants to sleep on their backs (supine position) to reduce this risk.
Rationale for Incorrect Findings:
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The newborn’s vital signs are within normal limits for a 3-week-old: temperature 36.9° C (98.4° F), heart rate 138/min, respiratory rate 42/min. These values indicate stable cardiopulmonary status and do not require intervention.
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The newborn sleeping in a bassinet, particularly in the parents’ bedroom, follows safe sleep recommendations that reduce SIDS risk by promoting a separate, firm sleeping surface close to caregivers. This is an appropriate practice and does not require intervention.
Correct Answer is B
Explanation
Choice A reason: Preparing one's own meals does not typically indicate a health issue that requires further assessment.
Choice B reason: Having to turn one's head completely to see things could indicate a possible vision or neck problem, which warrants further assessment.
Choice C reason: Changing a hearing aid battery weekly is a normal maintenance activity and does not suggest a health concern.
Choice D reason: Preparing medications for the week is a good practice for medication management and does not indicate a health issue.
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