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","D","E"]
Explanation
Rationale:
A. Sex workers are not specifically a mandatory reporting group. While they may be at risk, mandatory reporting laws generally focus on certain vulnerable populations such as children, the elderly, and disabled individuals.
B. Pregnant women are not a mandatory reporting group unless there is clear evidence of abuse or neglect impacting the health of the unborn child.
C. Children are a mandatory reporting group. Healthcare professionals are required by law to report suspected abuse or neglect to child protective services.
D. Disabled individuals are also a mandatory reporting group, as they are at increased risk of abuse and neglect. Reports should be made if abuse or neglect is suspected.
E. The elderly are a mandatory reporting group. Elder abuse must be reported to appropriate agencies, such as adult protective services, when suspected.
Correct Answer is D
Explanation
Rationale:
A. While contacting the trafficking hotline may be necessary, it is essential first to ensure the client's immediate safety and confidentiality.
B. Knowing available resources is important, but ensuring a safe, private environment for the client is the first priority.
C. Performing a sexual examination without consent violates the client’s rights and may not be appropriate or necessary at the initial contact.
D. Ensuring the conversation occurs alone and privately is crucial for the client’s comfort and safety, allowing them to speak freely about their situation.