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","C","D"]
Explanation
Rationale:
A. Nurses and other healthcare workers may be the primary or only point of contact for trafficking victims, providing crucial opportunities for identification and support.
B. Nurses are obligated to report suspected abuse but are generally required to report abuse or neglect for minors rather than all ages; trafficking often involves minors, but this is not a universal rule.
C. Nurses work in many different settings, which increases their opportunities to encounter and assist trafficking victims.
D. Nurses are trained to view a patient holistically and can recognize subtle signs of maltreatment that others might miss, making them critical in identifying trafficking.
E. Nurses do not have the legal authority to remove victims; their role involves identification and reporting rather than enforcement actions.
Correct Answer is D
Explanation
Rationale:
A. Changing the subject to focus on medication compliance might ignore the client's cultural beliefs and could undermine trust. It is important to address both cultural beliefs and medical treatment.
B. Accepting that cultural beliefs can change is not as relevant as understanding and respecting the client's current beliefs while guiding them towards effective treatment.
C. Explaining that foods cannot cure mental health disorders may come across as dismissive of the client's beliefs. It is more effective to acknowledge the client's beliefs while providing appropriate guidance.
D. Arranging for the client to speak with a dietitian is a culturally sensitive approach that respects the client's beliefs and provides an opportunity to discuss the role of diet in a way that complements medical treatment. This approach integrates cultural respect with professional guidance.