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?
Assuming that the client will follow the standard care plan without modification based on their cultural beliefs.
Requesting that the client conform to the nurse's personal beliefs and practices during their care.
Avoiding discussion of cultural practices to prevent making the client uncomfortable.
Inquiring about the client's cultural beliefs and preferences and incorporating them into the care plan.
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 C
Explanation
Rationale:
A. Discouraging the client from using any alternative therapies is not appropriate as it disregards the client’s autonomy and preferences. It is important to respect the client’s choices while providing evidence-based guidance.
B. Advising the client about "good" versus "bad" therapies can be subjective and may not provide the comprehensive information the client needs. Instead, focus should be on evidence-based information.
C. Educating the client about therapies that they are using or interested in ensures they are informed about potential benefits, risks, and interactions with conventional treatments. This approach supports informed decision-making and safe use of complementary and alternative therapies.
D. Recommending herbal remedies is outside the scope of the nurse's role unless there is clear evidence-based information to support such recommendations. Nurses should focus on providing education rather than specific recommendations.
Correct Answer is A
Explanation
Rationale:
A. Nurses are mandated reporters and must report suspicions of abuse or neglect, regardless of concrete evidence or verbal admission.
B. A verbal admission from the victim is not required; suspicions alone are sufficient to make a report.
C. While notifying a supervisor may be part of internal protocols, it is not a legal requirement for making a report.
D. Notifying the parents may not be safe or appropriate in cases of abuse, and it is not a requirement for reporting abuse or neglect.