Cultural Competence and Diversity in Healthcare > Fundamentals
Exam Review
Promoting Cultural Competence in Healthcare Organizations
Total Questions : 6
Showing 6 questions, Sign in for moreA nurse is caring for a client who has recently immigrated from China and does not speak English. Which action by the nurse demonstrates cultural competence?
Explanation
Rationale: The nurse demonstrates cultural competence by using an interpreter to communicate with the client and family, ensuring that the information is conveyed accurately and respectfully, and that the client's preferences and needs are understood.
Incorrect options:
B) Asking the client to teach the nurse some words in Mandarin. - This is not a culturally competent action, as it may put undue pressure on the client to educate the nurse, and it may not be relevant to the client's health care needs.
C) Assuming that the client follows traditional Chinese beliefs and practices. - This is not a culturally competent action, as it may lead to stereotyping and ignoring the individuality and diversity of the client.
D) Giving the client a pamphlet about American health care system. - This is not a culturally competent action, as it may imply that the American health care system is superior or more desirable than the client's own culture and values.
A nurse is conducting a health assessment for a client who identifies as Native American. The nurse notices that the client avoids eye contact during the interview. How should the nurse interpret this behavior?
Explanation
Rationale: The nurse should interpret the client's behavior as showing respect and deference, as this is a common cultural norm among some Native American groups. Eye contact may be considered intrusive or aggressive in some cultures, and avoiding eye contact may indicate respect for authority or elders.
Incorrect options:
A) The client is shy and nervous. - This is not a correct interpretation, as it may reflect the nurse's own cultural bias or assumption, rather than the client's actual feelings or intentions.
B) The client is disrespectful and rude. - This is not a correct interpretation, as it may reflect the nurse's own cultural bias or assumption, rather than the client's actual feelings or intentions.
D) The client is hiding something or lying. - This is not a correct interpretation, as it may reflect the nurse's own cultural bias or assumption, rather than the client's actual feelings or intentions.
A nurse is planning to provide education to a group of clients who have diabetes mellitus. The group consists of clients from various cultural backgrounds, including Hispanic, African American, Asian, and Middle Eastern. Which strategy should the nurse use to promote cultural competence in health education?
Explanation
Rationale: The nurse should use this strategy to promote cultural competence in health education, as it shows respect for the clients' culture and diversity, acknowledges their unique needs and preferences, and enhances their understanding and engagement.
Incorrect options:
A) Using standardized materials that are written in English and have pictures of people from different races and ethnicities. - This is not a culturally competent strategy, as it may not address the specific needs or concerns of each client group, and it may not be accessible or appropriate for clients who have limited English proficiency or literacy skills.
C) Avoiding any mention of culture or diversity, and focusing on the scientific facts and evidence-based guidelines for diabetes management. - This is not a culturally competent strategy, as it may ignore or dismiss the influence of culture on health behaviors, beliefs, and outcomes, and it may not be relevant or acceptable for clients who have different worldviews or values regarding health and illness.
D) Asking each client group to share their own experiences and challenges with diabetes, and facilitating a discussion among them. - This is not a culturally competent strategy, as it may put undue burden on the clients to educate each other or expose their personal information, and it may create conflict or misunderstanding among clients who have different perspectives or opinions.
A nurse is working in a community health center that serves a diverse population of clients. The nurse notices that some clients from certain cultural groups tend to seek health care only when they have an acute problem or an emergency, rather than for preventive or routine care. What is the most likely reason for this behavior?
Explanation
Rationale: The most likely reason for this behavior is that the clients have a low socioeconomic status and face barriers to accessing health care, such as lack of insurance, transportation, or time. These factors may limit the clients' ability or willingness to seek preventive or routine care, and may increase their risk of developing or worsening chronic conditions.
Incorrect options:
A) The clients have a fatalistic view of health and illness, and believe that they have no control over their health outcomes. - This is not the most likely reason for this behavior, as it may not apply to all clients from certain cultural groups, and it may not account for other factors that influence health-seeking behaviors, such as access, availability, or affordability of health care services.
B) The clients have a holistic view of health and illness, and prefer to use alternative or complementary therapies rather than conventional medicine. - This is not the most likely reason for this behavior, as it may not apply to all clients from certain cultural groups, and it may not account for other factors that influence health-seeking behaviors, such as access, availability, or affordability of health care services.
D) The clients have a high level of trust and satisfaction with their health care providers, and do not feel the need to seek health care unless they have a serious problem. - This is not the most likely reason for this behavior, as it may not apply to all clients from certain cultural groups, and it may not account for other factors that influence health-seeking behaviors, such as access, availability, or affordability of health care services.
A nurse is caring for a client who is Muslim and observes Ramadan. The client is scheduled to undergo a surgical procedure in the morning. Which action by the nurse demonstrates cultural sensitivity?
Explanation
The nurse demonstrates cultural sensitivity by informing the client that they can break their fast for medical reasons, as this is an exception that is allowed in Islam. The nurse should respect the client's religious beliefs and practices, but also provide accurate and relevant information that may affect their health and safety.
Incorrect options:
A) Asking the client if they would like to pray before the surgery. - This is not a culturally sensitive action, as it may imply that the nurse is questioning or challenging the client's faith or devotion.
C) Offering the client a light breakfast before the surgery. - This is not a culturally sensitive action, as it may disregard the client's religious obligation to fast during Ramadan.
D) Respecting the client's decision to fast until sunset. - This is not a culturally sensitive action, as it may compromise the client's health and safety before undergoing surgery.
A nurse is providing discharge instructions to a client who has hypertension. The client is from Haiti and speaks Creole. The nurse uses an interpreter to communicate with the client. Which statement by the nurse indicates effective use of an interpreter?
Explanation
Rationale: The nurse indicates effective use of an interpreter by using this statement, as it follows the best practices for working with an interpreter, such as speaking directly to the client in short sentences, using clear and simple language, and avoiding jargon or slang.
Incorrect options:
B) "Can you ask the client if they have any questions about their medications?" - This is not an effective use of an interpreter , as it creates a barrier between the nurse and the client by asking the interpreter to ask the client directly. The nurse should directly address the client and ask if they have any questions about their medications.
C) "How do you say 'blood pressure' in Creole?" - While it may be helpful for the nurse to learn some basic Creole terminology, this statement does not indicate effective use of an interpreter. The nurse should focus on communicating the necessary information to the client and rely on the interpreter for accurate translation.
D) "Do you think the client understands what I am saying?" - This statement does not indicate effective use of an interpreter. Instead, the nurse should directly ask the client if they understand the instructions and information provided, and seek clarification or additional explanation if needed.
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