A public health nurse is assisting a client who is a recent immigrant and is hesitant to utilize community resources. Which of the following action should the nurse take to provide culturally competent care? (Select all that apply.)
Use a family member as an interpreter when discussing services.
Explain that the client must use the available resources
Learn more about the client's values
Support the client as the owner of their own healthcare.
Review the client's current health practices
Correct Answer : C,D,E
A. Use a family member as an interpreter when discussing services: Using a family member as an interpreter can lead to miscommunication, privacy issues, and misinterpretation of medical information. Professional interpreters should always be used to ensure accurate and confidential communication.
B. Explain that the client must use the available resources: Forcing a client to use services without considering their cultural values and personal preferences is not culturally competent care. This approach can alienate the client and reduce trust in the healthcare system.
C. Learn more about the client's values: Understanding the client’s cultural values helps the nurse tailor interventions and communication in a way that respects the client’s worldview and fosters trust in the nurse-client relationship.
D. Support the client as the owner of their own healthcare: Empowering the client promotes autonomy and respects their cultural beliefs, leading to more personalized and respectful care, which is key in culturally competent practice.
E. Review the client’s current health practices: Learning about the client’s existing health behaviors helps the nurse understand how cultural beliefs influence health decisions and how to integrate care without disrupting practices important to the client.
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Related Questions
Correct Answer is D
Explanation
A. Lock the computer with their password: Locking the computer can secure the session temporarily, but it still leaves the session open and accessible if not properly locked. Logging out fully ends the session and prevents unauthorized access.
B. Minimize the computer application: Minimizing the computer application does not secure the client's electronic health record. The application is still open and accessible with a click, making it a significant breach of confidentiality if someone else accesses the computer.
C. Close the computer screen: Closing the computer screen (e.g., folding down a laptop lid) often puts the computer to sleep or locks the screen. While it provides some level of protection, it is not as secure as logging out, especially if the computer can be easily re-opened or if the lock mechanism isn't immediate.
D. Log out of the computer: Logging out completely ends the session and requires re-authentication for access, ensuring client data confidentiality and compliance with privacy regulations such as HIPAA.
Correct Answer is ["A","B"]
Explanation
- Parent smoking around the infant exposes the newborn to secondhand smoke, increasing the risk of respiratory infections and sudden infant death syndrome (SIDS). Smoking should be avoided in the infant’s environment.
- The prone sleeping position raises the risk of SIDS; current guidelines recommend placing infants to sleep on their backs (supine position) to reduce this risk.
Rationale for Incorrect Findings:
- The newborn’s vital signs are within normal limits for a 3-week-old: temperature 36.9° C (98.4° F), heart rate 138/min, respiratory rate 42/min. These values indicate stable cardiopulmonary status and do not require intervention.
- The newborn sleeping in a bassinet, particularly in the parents’ bedroom, follows safe sleep recommendations that reduce SIDS risk by promoting a separate, firm sleeping surface close to caregivers. This is an appropriate practice and does not require intervention.
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