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 ["A","B","D"]
Explanation
These techniques can help a nurse communicate effectively with a patient. Clarifying terms can help ensure that both the nurse and the patient understand each other and are on the same page.
Remaining silent can give the patient space to express themselves and can show that the nurse is actively listening.
Asking open-minded questions can encourage the patient to share their thoughts and feelings and can help the nurse beter understand the patient’s perspective.
Offering false reassurance and discouraging the person from expressing feelings that are unacceptable (e) are not effective communication techniques. False reassurance can undermine trust and discourage honest communication, while discouraging expression of feelings can prevent the patient from fully engaging in the therapeutic process.

Correct Answer is A
Explanation
As a healthcare provider, it is important to respect and support the cultural and religious practices of our patients. In this case, the patients have expressed a desire to follow the same prayer schedule they did prior to admission, and it is our responsibility to accommodate their request to the best of our abilities.
Option b, suggesting that the patients learn another prayer, may not be appropriate as it implies that their current prayer practices are not valid or important.
Option c, suggesting that they can go back to their regular prayer schedule after discharge, ignores their current needs and may cause unnecessary stress or discomfort.
Option d, dismissing their request and saying "you are in America now" is disrespectful and inappropriate.
Therefore, the best response is a, asking how we can accommodate the patients' prayer time, showing respect for their cultural and religious beliefs and willingness to support their needs.
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