A nurse from 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 client 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 by the nurse that best demonstrates cultural competence is asking the clients what matters most to them in their illness and treatment. This demonstrates respect for the clients' beliefs, values, and preferences, and acknowledges that healthcare is influenced by cultural factors. By asking the clients what matters most to them, the nurse can gain insight into their cultural practices, beliefs, and expectations, and use this information to provide care that is more meaningful and effective.
Telling the client that they should not continue taking herbs, asking if they utilize a shaman, or telling the clients to follow the provider's orders without regard for their cultural beliefs and practices can be disrespectful, dismissive, and may create a barrier to effective communication and care. Cultural competence requires understanding and respecting the cultural diversity of clients and incorporating this knowledge into the provision of care.
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Related Questions
Correct Answer is C
Explanation
The priority action of the nurse to ensure client safety during a transfer from the bed to a wheelchair is to lock the wheels of the wheelchair. This will prevent the wheelchair from moving and provide a stable surface for the client to transfer onto.
Encouraging the client to push up from the wheelchair is not a safe option, as it could result in the client losing their balance and falling.
Ensuring the client is bathed before getting into the wheelchair is not directly related to client safety during the transfer.
Placing the bed in the lithotomy position, which involves positioning the client with their feet in stirrups and their legs elevated, is not necessary for a transfer to a wheelchair and could potentially increase the risk of injury.
Correct Answer is C
Explanation
“Tell me more about that. Let's talk about finding a method that will work for you" is an appropriate response by the nurse. The nurse is using a client-centered approach, which is important to ensure the client is involved in his own care. By asking the client to share more about his cultural perspective on time and finding a method that works for him, the nurse is providing individualized care and encouraging the client to take an active role in his treatment plan.
The other options may be seen as dismissive, threatening, or too rigid, which can negatively impact the therapeutic relationship and the client's adherence to the medication regimen.
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