Which nursing action best demonstrates cultural competence in end-of-life care?

Discussing advance directives with the patient to ensure their wishes are documented

Consulting with the patient's family about their preferences for funeral arrangements

Encouraging the patient to participate in religious rituals and ceremonies important to their cultural beliefs

Administering pain medication as prescribed to a terminally ill patient

Answer and Explanation

The Correct Answer is C

A. While discussing advance directives is important for ensuring patient wishes are documented, it does not specifically address cultural competence in end-of-life care.
B. Consulting about funeral arrangements is important but focuses on post-death logistics rather than the patient’s current end-of-life care preferences.
C. Encouraging participation in religious rituals and ceremonies shows respect and support for the patient’s cultural beliefs, demonstrating cultural competence in providing holistic care.
D. Administering pain medication is a standard practice in end-of-life care and important for comfort but does not specifically address the cultural aspects of the patient’s care.

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Correct Answer is B

Explanation

A. The CDC supports various public health initiatives and research but is not the primary organization behind the Healthy People objectives.
B. The ODPHP is responsible for coordinating the Healthy People 2030 initiative and provides guidance and resources for the goals.
C. The WHO is a global health organization that supports international health initiatives but is not specifically responsible for Healthy People 2030.
D. The NIH focuses on medical research and does not oversee the Healthy People 2030 objectives.

A. A general systems approach that considers the multiple components, such as socioeconomics, environmental and cultural aspects of community B. An experimental approach that considers the various community characteristics to compare individuals in different settings C. A long-term cohort approach that is used to document the health of a community over many years in terms of community characteristics D. A hierarchical approach that focuses on the ability of the population in the community to implement successful health promotion activities

Correct Answer is A

Explanation

A. "A general systems approach that considers the multiple components, such as socioeconomics, environmental and cultural aspects of community." This is correct. The social ecological model takes into account various levels of influence, including individual, interpersonal, community, and societal factors, to address health issues comprehensively.
B. "An experimental approach that considers the various community characteristics to compare individuals in different settings." This is incorrect. The social ecological model is not experimental; it is more focused on understanding the interplay between different levels of influence.
C. "A long-term cohort approach that is used to document the health of a community over many years in terms of community characteristics." This is incorrect. The social ecological model does not specifically involve long-term cohort studies but rather a multi-level approach to understanding health impacts.
D. "A hierarchical approach that focuses on the ability of the population in the community to implement successful health promotion activities." This is incorrect. The social ecological model does not follow a hierarchical approach but rather considers various levels of influence simultaneously.

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Which nursing action best demonstrates cultural competence in end-of-life care?

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Correct Answer is B

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Correct Answer is A

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