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A nurse reports that in comparison to all the children in a particular school, the children who are
- A. Discourage the parents from enrolling their sons in Cub Scouts because of the risk.
- B. Dont say anything about Cub Scouts, because it isnt relevant to nursing care.
- C. Encourage the parents to enroll their sons in Cub Scouts.
- D. Share the finding and let the parents draw whatever conclusions they feel appropriate. - CORRECT
Correct Answer: A
Rationale: The correct answer is D: Share the finding and let the parents draw whatever conclusions they feel appropriate. This choice is correct because it aligns with the principle of providing unbiased information to parents and allowing them to make their own decisions based on the facts presented. By sharing the findings without any personal bias or influence, the nurse respects the autonomy of the parents and empowers them to make informed choices for their children.
Choice A is incorrect because it suggests that the nurse should discourage parents from enrolling their sons in Cub Scouts based on the risk, which goes against the principle of providing neutral information without influencing the decision-making process. Choices B and C are incorrect because they either dismiss the relevance of the information or impose a specific recommendation on the parents without considering their autonomy and preferences.
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Which action by a nurse working at a community health center is an example of using the ACCESS model of transcultural care?
- A. Utilizing a standardized plan of care
- B. Developing the plan of care with the client
- C. Using a plan of care developed for a specific cultural group
- D. Collaborating with other nurses to develop the plan of care
Correct Answer: B
Rationale: The correct answer is B: Developing the plan of care with the client. This aligns with the ACCESS model of transcultural care, which emphasizes collaboration between the healthcare provider and the client to develop a culturally sensitive and individualized plan of care. This approach recognizes the client as an active participant in their healthcare, promotes cultural competence, and ensures that the care provided is respectful of the client's beliefs and values.
Choice A is incorrect because utilizing a standardized plan of care may not take into account the client's unique cultural background. Choice C is incorrect as using a plan developed for a specific cultural group may not be applicable or relevant to the individual client. Choice D is incorrect as collaborating with other nurses, while important, does not specifically address the client's input in the care plan.
Which action by a nurse represents the practice of decolonization?
- A. Enforcing Eurocentric ideologies to maintain cultural uniformity
- B. Prioritizing certain cultural perspectives over others
- C. Recognizing and challenging dominating colonial influences
- D. Eliminating all traditional healing practices to standardize care
Correct Answer: C
Rationale: The correct answer is C: Recognizing and challenging dominating colonial influences. Decolonization in nursing involves acknowledging and addressing historical power imbalances and colonial legacies in healthcare. By recognizing and challenging dominating colonial influences, nurses advocate for culturally safe care and work towards dismantling systemic inequalities. Enforcing Eurocentric ideologies (choice A) and prioritizing certain cultural perspectives (choice B) can perpetuate colonization rather than decolonization. Eliminating traditional healing practices (choice D) disregards cultural diversity and goes against the principles of decolonization.
To meet a client's needs, it is sometimes necessary to integrate into the client's care a culturally relevant practice that lacks scientific utility. Which term describes this action?
- A. Cultural accommodation
- B. Cultural awareness
- C. Cultural preservation
- D. Cultural repatterning
Correct Answer: A
Rationale: The correct answer is A: Cultural accommodation. This term refers to the adaptation of healthcare practices to align with a client's cultural beliefs and practices, even if they may not have scientific evidence. It recognizes the importance of respecting and incorporating diverse cultural perspectives to provide effective care.
Choice B, Cultural awareness, focuses on understanding different cultures but does not necessarily involve modifying practices. Choice C, Cultural preservation, refers to maintaining traditional cultural practices without adaptation. Choice D, Cultural repatterning, involves changing cultural practices to align with evidence-based approaches, which is opposite to the scenario described in the question.
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.
What action by a nurse demonstrates cultural humility in client-centered care?
- A. Using complex medical terminology to show expertise
- B. Assuming that the nurse's cultural practices are universally applicable
- C. Adapting care practices to align with the client's cultural preferences
- D. Disregarding the client's input and family's opinions in decision making
Correct Answer: C
Rationale: The correct answer is C because cultural humility in client-centered care involves acknowledging and respecting the client's cultural background and preferences. By adapting care practices to align with the client's cultural preferences, the nurse demonstrates an understanding and appreciation for the client's unique needs and values. This approach fosters trust, communication, and promotes better health outcomes.
Incorrect choices:
A: Using complex medical terminology may alienate the client and hinder effective communication.
B: Assuming universality of cultural practices can lead to misunderstandings and may not meet the client's individual needs.
D: Disregarding client and family input goes against client-centered care principles and can result in suboptimal outcomes.