A nurse wishes to develop cultural competence when caring for clients. Which of the following actions should the nurse take first?
Complete a survey of the various ethnicities represented in the nurse's community.
Study the beliefs and traditions of persons living in other cultures.
Consider how the nurse's own personal beliefs and decisions are reflective of their culture.
Invite a family from another culture to join the nurse for an event.
The Correct Answer is C
Choice A reason: Completing a survey of the various ethnicities represented in the nurse's community is a good way to learn about diversity, but it is not the first step in developing cultural competence. The nurse should first examine their own cultural background and biases, and how they affect their interactions with clients.
Choice B reason: Studying the beliefs and traditions of persons living in other cultures is a valuable way to gain knowledge and understanding, but it is not the first step in developing cultural competence. The nurse should first be aware of their own cultural values and assumptions, and how they influence their perceptions and judgments.
Choice C reason: Considering how the nurse's own personal beliefs and decisions are reflective of their culture is the first step in developing cultural competence. The nurse should recognize that culture is not only about ethnicity, but also about age, gender, religion, education, socioeconomic status, and other factors. The nurse should also acknowledge that culture is dynamic and complex and that each person has a unique cultural identity.
Choice D reason: Inviting a family from another culture to join the nurse for an event is a nice way to show respect and interest, but it is not the first step in developing cultural competence. The nurse should first develop self-awareness and sensitivity, and avoid making stereotypes or generalizations about other cultures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: "Diet and exercise is good for you and good for your heart." This statement is true, but it is not the appropriate nursing response. It does not address the client's concerns or provide any specific information about cardiac rehabilitation. It may also sound dismissive or patronizing to the client.
Choice B reason: "It's not unusual to feel that way at first, but once you learn the routine, you'll enjoy it." This statement is empathetic, but it is not the appropriate nursing response. It does not explain the purpose or benefits of cardiac rehabilitation. It may also sound unrealistic or optimistic to the client.
Choice C reason: "Cardiac rehabilitation cannot undo the damage to your heart, but it can help you get back to your previous level of activity safely." This statement is the appropriate nursing response. It acknowledges the client's condition and provides factual information about cardiac rehabilitation. It also emphasizes the positive outcomes of cardiac rehabilitation, such as improving physical function, reducing symptoms, and preventing further complications.
Choice D reason: "Your doctor is the expert here, and I'm sure he would only recommend what is best for you." This statement is respectful, but it is not the appropriate nursing response. It does not answer the client's question or provide any education about cardiac rehabilitation. It may also sound evasive or deferential to the client.
Correct Answer is C
Explanation
Choice A reason: Repeat dose in 1 hour for unrelieved headache. This instruction is incorrect because sumatriptan should not be taken more than twice in 24 hours. Taking too much sumatriptan can cause serious side effects, such as high blood pressure, stroke, or heart problems.
Choice B reason: Chew the tablet well before swallowing. This instruction is incorrect because sumatriptan tablets should be swallowed whole with water. Chewing the tablet may affect its absorption and effectiveness.
Choice C reason: If you experience chest pain, call your physician immediately. This instruction is correct because chest pain is a serious and potentially life-threatening side effect of sumatriptan. Chest pain may indicate a heart attack or coronary artery spasm, which require immediate medical attention.
Choice D reason: Take daily to prevent headaches. This instruction is incorrect because sumatriptan is not a preventive medication for migraines. It is only used to treat acute migraine attacks when they occur. Taking sumatriptan daily can cause rebound headaches, which are worse and more frequent than the original ones.
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