A nurse from a predominantly Latino culture works in a hospital that services a large Hmong population.
What action by the nurse best demonstrates cultural competence?
The nurse asks the clients what matters most to them in their illness and treatment.
The nurse tells the clients that they should not continue taking herbs.
The nurse asks the clients if they utilize shaman.
The nurse tells the clients that they should follow the provider's orders.
The Correct Answer is A
The action that best demonstrates cultural competence is for the nurse to ask the clients what matters most to them in their illness and treatment.
Cultural competence describes the ability to effectively interact with people belonging to different cultures.
The importance of cultural competence in nursing focuses on health equity through patient-centered care, which requires seeing each patient as a unique person1.
Choice B is not the correct answer because telling clients that they should not continue taking herbs does not demonstrate cultural competence.
Choice C is not the correct answer because asking clients if they utilize shaman does not demonstrate cultural competence.
Choice D is not the correct answer because telling clients that they should follow the provider’s orders does not demonstrate cultural competence.
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Related Questions
Correct Answer is D
Explanation
Collaborate with the client and provider to develop a client-centered plan of care.
It is important for the nurse to respect the client’s cultural and religious beliefs while also ensuring that his medical needs are met.
By collaborating with the client and his healthcare provider, the nurse can help develop a plan of care that takes into account the client’s desire to fast during Ramadan while also managing his diabetes.

Choice A) Educating the client that fasting is not an option is not respectful of the client’s beliefs and may not be effective in promoting adherence to treatment.
Choice B) Telling the client not to take his insulin the night before is not appropriate as it may result in uncontrolled blood sugar levels.
Choice C) Informing the client that he will need to change his lifestyle completely is not a client-centered approach and may not be effective in promoting adherence to treatment.
Correct Answer is B
Explanation
Temperature 97.0°F; pulse 54 bpm; respirations 14 breaths/minute; blood pressure 196/114 mmHg.
This set of vital signs is cause for concern because the blood pressure is significantly elevated.
A blood pressure reading of 196/114 mmHg is considered a hypertensive crisis and requires immediate medical attention.
Choice A) Temperature 96.9°F; pulse 100 bpm; respirations 20 breaths/minute; blood pressure 120/80 mmHg is within normal limits for an adult.
Choice C) Temperature 98.6°F; pulse 60 bpm; respirations 14 breaths/minute; blood pressure 110/66 mmHg is also within normal limits for an adult.
Choice D) Temperature 99°F; pulse 72 bpm; respirations 16 breaths/minute; blood pressure 100/60 mmHg is slightly elevated but not cause for immediate concern.
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