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 ["A","B","D"]
Explanation
Rationale:
A. Cultural imposition occurs when a nurse enforces their own cultural norms and practices on clients, such as not allowing them to choose whether to bathe daily.
B. Insisting that a client see a priest based on personal beliefs imposes religious practices on the client, not considering their individual preferences or needs.
C. Treating all clients the same without considering cultural differences is not cultural imposition but rather a lack of cultural competence.
D. Dismissing Jewish dietary restrictions as merely a preference reflects a lack of respect for the client's cultural practices, which is an example of cultural imposition.
E. Directing questions to the client's daughter instead of the client shows a lack of respect for the client's autonomy but does not exemplify cultural imposition.
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.