The nurse in the Emergency Department finds a woman collapsed on the floor and crying loudly. The woman’s husband was in a car accident and is being attended by the medical staff.
Which statement by the medical nurse best demonstrates acting in a culturally competent manner?
“I am concerned about how you are acting right now. No one else here is acting like this.”
“We will call the psychiatrist to see if medication can be ordered for you.”
“You will need to control yourself. Your husband was not injured that badly.”
“Let me take you to a room with more privacy so we can talk.”
The Correct Answer is D
In this situation, the nurse is recognizing that the woman is distressed and is showing empathy and understanding by offering her a private space to talk. This allows the woman to express herself freely without feeling judged or embarrassed in front of others. It also shows the nurse's respect for the woman's privacy and her cultural beliefs, which may include the need for modesty and privacy during emotional situations.
Option A is not culturally competent because it dismisses the woman's emotional state and implies that her behavior is abnormal.
Option B assumes that medication is the solution to the woman's emotional distress and does not address her cultural needs.
Option C is not culturally competent because it disregards the woman's feelings and emotions and implies that her reaction is inappropriate.
Overall, cultural competence is about being respectful and sensitive to the beliefs, values, and customs of individuals and communities from diverse backgrounds, and providing care that is tailored to their unique needs and preferences.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This statement shows that the nurse is interested in Linda's feelings and is willing to listen to her. It allows Linda to express her emotions and concerns, which can help to reduce her anxiety.
Option A ("How about watching a football game?") may not be appropriate as Linda may not be interested in football or may not find it helpful in reducing her anxiety.
Option B ("What do you have to be upset about now?") is not a therapeutic statement as it can be perceived as dismissive and invalidating of Linda's feelings.
Option D ("Ignore the client.") is never an appropriate approach for a nurse or any healthcare professional as it goes against the principles of providing care and support to patients.
Correct Answer is D
Explanation
In a Mental Status Examination (MSE), thinking/content of thought is one of the key areas assessed. It refers to the content and process of a person's thoughts. The examiner will evaluate whether the person's thinking is coherent, organized, and logical, or if it is fragmented, disorganized, or delusional. They will also look for evidence of hallucinations, obsessions, or compulsions.
Speech and ability to communicate (a) are also assessed in the MSE, but they focus more on how the person expresses themselves, rather than the content of their thoughts. Judgment (b) refers to a person's ability to make decisions and solve problems, and memory (c) is the ability to recall past events and information. While both areas are important to assess in a mental health evaluation, they do not specifically focus on what the person is thinking.
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