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 B
Explanation
Rationale:
A. Spirituality is a sense of devotion to one or more gods is too narrow and may not encompass the broader concept of spirituality, which can include personal beliefs and practices beyond organized religion.
B. Many religions have cultural and ethical underpinnings accurately reflects how religion and spirituality influence health care decisions by providing a framework for values and behaviors.
C. Religion represents a group's philosophy may be more about religion than spirituality and does not fully encompass personal spiritual beliefs.
D. Those with a high sense of spirituality may not necessarily follow a prescribed set of beliefs, as spirituality can be highly individualized and not always tied to specific religious doctrines.
Correct Answer is B
Explanation
Rationale:
A. Avoid responding to hints that abuse has occurred is not appropriate. The nurse should address and assess any signs or suspicions of abuse openly.
B. Separate the family from the child during the interview is appropriate as it allows the nurse to obtain information from the child without potential coercion or influence from the family members.
C. Report the concern for potential abuse to the immediate supervisor is important but should be done after gathering sufficient information. The immediate action should focus on separating and interviewing the child.
D. Obtain information as covertly as possible is not ideal. It is important to obtain accurate information while ensuring the safety and comfort of the child, rather than being covert.