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A nurse is providing care to a client from a cultural background different from their own. Which of the following actions demonstrates culturally competent care?

A.

Assuming that the client will follow the standard care plan without modification based on their cultural beliefs.

B.

Requesting that the client conform to the nurse's personal beliefs and practices during their care.

C.

Avoiding discussion of cultural practices to prevent making the client uncomfortable.

D.

Inquiring about the client's cultural beliefs and preferences and incorporating them into the care plan.

Answer and Explanation

The Correct Answer is D

Rationale:

 

A. Assuming the client will follow the standard care plan without considering cultural beliefs shows a lack of cultural competence. Each client's cultural context should be considered.

 

B. Requesting conformity to the nurse's beliefs disregards the client’s cultural preferences and is not respectful of their personal values.

 

C. Avoiding discussion of cultural practices can hinder understanding and appropriate care; addressing cultural practices is important for providing respectful and effective care.

 

D. Inquiring about the client's cultural beliefs and incorporating them into the care plan ensures that care is respectful, relevant, and tailored to the client's needs and values.


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Correct Answer is B

Explanation

Rationale:

A. Increasing outreach efforts without understanding specific needs may lead to ineffective or misaligned interventions.

B. Conducting a comprehensive community assessment allows the nurse to identify and prioritize key health issues and resource gaps, leading to more targeted and effective interventions based on actual community needs.

C. Immediate emergency care addresses urgent issues but does not address the broader, long-term needs of the community.

D. Health education programs are beneficial but should be based on a thorough assessment of community needs to ensure they are relevant and effective.

Correct Answer is A

Explanation

Rationale:

A. Improving ventilation and increasing cleaning frequency addresses the environment component by altering the physical setting to reduce pathogen exposure and control infection spread.

B. Administering a vaccination targets the host component by enhancing immunity to prevent infection.

C. Providing antimicrobial medication addresses the agent component by treating an existing infection.

D. Educating on hand hygiene is an important intervention but primarily affects the host-agent interaction rather than the environment.

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