A nurse is working with an immigrant population. Which of the following should be the first action taken by the nurse?
- A. Be aware of one's own cultur
- C. Become familiar with traditional practices of the immigrants.
- D. Try to see things from the immigrant's viewpoint.
Correct Answer: A
Rationale: The correct answer is A: Be aware of one's own culture. This is the first action because self-awareness of one's own cultural beliefs, biases, and values is essential in promoting cultural competence. Understanding one's own culture helps prevent misunderstandings and conflicts with individuals from different cultural backgrounds. It also allows the nurse to approach care with an open mind and respect for diversity.
Choice C is incorrect as it only focuses on understanding the immigrants' culture without considering the nurse's own cultural influences. Choice D is not the first action to be taken as understanding the immigrant's viewpoint comes after acknowledging one's own cultural perspectives. Choices B, E, F, and G are irrelevant to the initial step of addressing cultural competence.
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What action can a nurse take to reduce biases in nurse-client interactions?
- A. Providing care based on past encounters with individuals of the same background
- B. Explaining the nurse's values and beliefs to the client
- C. Reflecting on how their background influences their perception of others
- D. Limiting interactions with individuals from certain social identity groups
Correct Answer: C
Rationale: The correct answer is C because reflecting on how their background influences their perception of others helps nurses become aware of their biases and work towards reducing them. This self-awareness enables nurses to provide unbiased care and build better relationships with clients. Choice A is incorrect as it promotes stereotyping based on past encounters. Choice B is not effective as imposing the nurse's values may not align with the client's beliefs. Choice D is discriminatory and limits the nurse's ability to provide holistic care.
Which action should the nurse take when teaching a client with a low health literacy level?
- A. Use the correct medical terminology.
- B. Speak in a loud voic
- D. Choose terms that the client uses.
Correct Answer: D
Rationale: The correct answer is D: Choose terms that the client uses. This is the most appropriate action when teaching a client with low health literacy because it helps ensure effective communication and understanding. By using language that the client is familiar with, the nurse can enhance comprehension and retention of important health information. Using medical terminology (A) may confuse the client further. Speaking loudly (B) is not necessary and can be perceived as disrespectful. Choices C, E, F, and G are not applicable in this context.
Which outcome is a potential consequence of power imbalances in nurse-client interactions?
- A. Increased client autonomy and decision making
- B. Enhanced trust and rapport between the nurse and client
- C. Unequal treatment and compromised client autonomy
- D. Improved communication and understanding between parties
Correct Answer: C
Rationale: The correct answer is C: Unequal treatment and compromised client autonomy. Power imbalances in nurse-client interactions can lead to the nurse exerting control over the client, resulting in unequal treatment and compromised client autonomy. The nurse may make decisions on behalf of the client without considering their preferences or values, leading to a lack of autonomy for the client. This can result in the client feeling disempowered and not having their needs and preferences met. Increased client autonomy (choice A) and enhanced trust and rapport (choice B) are unlikely outcomes of power imbalances as they require a balanced and respectful relationship. Improved communication (choice D) may not necessarily occur if one party dominates the interaction.
A client shares with the nurse that her grandparents immigrated to the United States from Germany. Which of the following best describes what she has disclosed?
- A. Multiculturalism
- B. Ethnicity
- C. Race
- D. Culture
Correct Answer: B
Rationale: The correct answer is B: Ethnicity. Ethnicity refers to shared cultural practices, perspectives, and identity based on a common ancestry or heritage. In this scenario, the client's disclosure of her grandparents immigrating from Germany indicates a connection to a specific cultural background and heritage. This information aligns with the concept of ethnicity.
Explanation for why other choices are incorrect:
A: Multiculturalism - Multiculturalism refers to the coexistence of diverse cultural groups within a society, not the individual's specific cultural background.
C: Race - Race is based on physical characteristics such as skin color, not on the country of origin or cultural background.
D: Culture - While closely related, culture refers to the shared beliefs, values, and practices of a group, whereas ethnicity specifically focuses on shared ancestry or heritage.
A nurse resigns from a position in a hospital to accept a job in a community setting. After starting the new job, the nurse feels helpless and confused, wondering if this was the right
- A. Which of the following terms best describes how the nurse is feeling?
- B. Cultural conflict
- C. Cultural relativism
- D. Culture shock
Correct Answer: D
Rationale: The correct answer is D: Culture shock. This term describes the feelings of confusion, helplessness, and uncertainty that individuals experience when they are exposed to a new culture or environment. In this scenario, the nurse is transitioning from a hospital setting to a community setting, leading to a sense of disorientation and discomfort. Cultural conflict (B) refers to disagreements or tensions arising from cultural differences, not the nurse's internal feelings. Cultural relativism (C) is a concept that suggests understanding and accepting different cultural perspectives, which is not directly related to the nurse's personal experience. Choice E, F, and G are not relevant to the nurse's situation.
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