A nurse is providing care to a client from a cultural background different from their own. Which of the following actions demonstrates culturally competent care?

Assuming that the client will follow the standard care plan without modification based on their cultural beliefs.

Requesting that the client conform to the nurse's personal beliefs and practices during their care.

Avoiding discussion of cultural practices to prevent making the client uncomfortable.

Inquiring about the client's cultural beliefs and preferences and incorporating them into the care plan.

Answer and Explanation

The Correct Answer is D

A. Assuming the client will follow the standard care plan without considering cultural beliefs shows a lack of cultural competence. Each client's cultural context should be considered.

B. Requesting conformity to the nurse's beliefs disregards the client’s cultural preferences and is not respectful of their personal values.

C. Avoiding discussion of cultural practices can hinder understanding and appropriate care; addressing cultural practices is important for providing respectful and effective care.

D. Inquiring about the client's cultural beliefs and incorporating them into the care plan ensures that care is respectful, relevant, and tailored to the client's needs and values.

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Correct Answer is C

Explanation

A. Discussing fears with anyone is not the most immediate question to ask when assessing for safety; it may be relevant later but does not directly address immediate safety concerns.

B. Fears about the spouse could be a part of the assessment but are more specific than asking about overall safety.

C. Asking if the client feels safe in the home is a direct and straightforward question that addresses immediate safety concerns and can provide crucial information about the presence of abuse.

D. Recommending a safe place may be helpful but should come after establishing the client’s current safety and assessing immediate risks.

A. Establish a rapport with the victim and the abuser. B. Request the presence of a security guard. C. Contact the appropriate legal services. D. Ensure privacy for interviewing the victim away from the abuser.

Correct Answer is D

Explanation

A. Establish a rapport with the victim and the abuser: While establishing rapport with the victim is important, it is essential to first ensure the victim’s safety and privacy. The abuser should not be present during this interview because it could lead to intimidation and prevent the victim from being open and honest.

B. Request the presence of a security guard: While security may be necessary if there is a concern about the victim’s immediate safety, the priority should be to establish privacy for the interview. If the situation becomes dangerous, security can be called afterward.

C. Contact the appropriate legal services: Legal services may be contacted later, but the immediate priority is to ensure that the victim has the opportunity to speak without fear of the abuser’s presence. Legal support and other services can be arranged after the interview.

D. Ensure privacy for interviewing the victim away from the abuser: The victim must feel safe to speak honestly and openly about the abuse. To ensure confidentiality and prevent the abuser from overhearing, the nurse must first create a private space for the interview. This step is critical for establishing trust and gaining accurate information about the situation.

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A nurse is providing care to a client from a cultural background different from their own. Which of the following actions demonstrates culturally competent care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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