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 D
Explanation
Rationale:
A. They are a stranger to the victim in most cases is incorrect. Perpetrators of interpersonal violence are often known to the victim.
B. They are often in a psychotic state during the act is not typically the case. Many perpetrators do not exhibit psychosis during violent acts.
C. They are usually under the influence of alcohol or drugs is not universally true; while substance abuse can be a factor, it is not a characteristic that defines all perpetrators.
D. They are most often someone the victim knows is accurate. Many instances of interpersonal violence involve perpetrators who are acquaintances, partners, or family members of the victim.
Correct Answer is B
Explanation
Rationale:
A. A survey might provide some information but is less comprehensive and interactive than an interview.
B. The interview is the most appropriate method for a basic family assessment as it allows for a detailed and interactive exploration of family dynamics, health issues, and needs.
C. A poll is generally used for gathering opinions from a group rather than conducting a detailed assessment of an individual's or family's needs.
D. The physical assessments are important for evaluating health status but do not provide the comprehensive understanding of family dynamics and functioning needed for a basic family assessment.