A nurse is counseling a client who has advanced-stage lung cancer about the use of palliative care. Which of the following client statements indicates an understanding of the information?

A. Develop educational materials for employees.

Developing educational materials is an important step but should come after assessing the employees' knowledge level. Tailoring materials based on the specific needs identified through assessment enhances the relevance and effectiveness of the educational content.

B. Have breast models available to employees during teaching sessions.

Having breast models is a valuable resource for hands-on demonstrations during teaching sessions. However, the availability of breast models is a component of the educational program rather than the initial step.

C. Determine employee knowledge level of breast self-examination.

Explanation: Before implementing an educational program, it is essential to assess the baseline knowledge and awareness of the target audience. By determining the employees' knowledge level of breast self-examination (BSE), the nurse can tailor the program to address specific needs and gaps in understanding. This assessment helps in designing an effective and targeted educational intervention.

D. Schedule a guest speaker to talk about breast cancer to employees.

Bringing in a guest speaker is a useful strategy, but it may be more effective after assessing the employees' existing knowledge. This allows the guest speaker to focus on specific areas of interest and address the unique needs identified through the assessment.

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.