Which action by a health care organization is an example of a leadership commitment to cultural competence?
- A. Developing a policy for use of trained interpreters
- B. Enhancing client satisfaction
- C. Improving health care outcomes
- D. Increasing health care access to all individuals
Correct Answer: A
Rationale: The correct answer is A: Developing a policy for use of trained interpreters. This demonstrates leadership commitment to cultural competence by ensuring effective communication with patients of diverse backgrounds, promoting inclusivity, and respecting linguistic diversity. Providing trained interpreters helps overcome language barriers, enhances patient-provider communication, and fosters trust. Choices B, C, and D are important goals in healthcare, but they do not directly address the need for cultural competence through language access. Enhancing client satisfaction, improving health outcomes, and increasing access to healthcare are valuable outcomes but do not necessarily indicate a specific commitment to cultural competence.
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The tendency to ignore all differences between cultures and to act as though the differences do not exist is identified by what term?
- A. Cultural conflict
- B. C M
- C. Culture shock U S N T O
- D. Cultural blindness
Correct Answer: D
Rationale: The correct answer is D: Cultural blindness. Cultural blindness refers to the tendency to ignore cultural differences and act as though they do not exist. This term highlights the lack of awareness or recognition of the diversity and nuances of various cultures. It can lead to misunderstandings, miscommunication, and insensitivity towards individuals from different cultural backgrounds.
A: Cultural conflict involves disagreements or tensions arising from cultural differences, which is not the same as ignoring differences.
B: C M, C: Culture shock U S N T O, E:, F:, G: do not provide relevant options.
In summary, cultural blindness is the correct term as it specifically addresses the act of disregarding cultural differences, while the other choices either address different concepts or are irrelevant.
A nurse believes that the best treatment for illness is the use of Western medicine and alternative therapies should not be used for healing. Which of the following best describes what has happened?
- A. Ethnocentrism
- B. Cultural imposition
- C. Racism
- D. Stereotyping
Correct Answer: A
Rationale: Correct Answer: A: Ethnocentrism
Rationale:
1. Ethnocentrism is the belief in the superiority of one's own culture over others.
2. The nurse's belief in Western medicine as superior demonstrates ethnocentrism.
3. Alternative therapies are dismissed without consideration, reflecting a biased view.
4. This attitude can lead to a lack of respect for diverse cultural healing practices.
Summary of Other Choices:
B: Cultural imposition - This term refers to forcing one's own cultural beliefs onto others, which is not explicitly demonstrated in this scenario.
C: Racism - While the nurse's view may be biased, it is not based on racial discrimination as racism implies.
D: Stereotyping - The nurse's view is a generalization about the effectiveness of different healing methods, but not necessarily based on stereotypes.
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 Mexican American mother insists on using special candles to help her daughter's ear infection. The nurse asks the mother if she would also give her daughter antibiotics. Which of the following best describes the action of the nurse?
- A. Cultural accommodation
- B. Cultural repatterning
- C. Culture brokering
- D. Cultural awareness
Correct Answer: C
Rationale: The correct answer is C: Culture brokering. Culture brokering involves a healthcare provider facilitating communication and negotiation between a patient's culture and the biomedical healthcare system. In this scenario, the nurse is trying to bridge the gap between the mother's cultural belief in using special candles and the biomedical treatment of antibiotics for the daughter's ear infection. By discussing the use of antibiotics with the mother, the nurse is acting as a mediator to ensure the best possible care for the patient. Cultural accommodation (A) would involve simply accepting the mother's cultural practice without question. Cultural repatterning (B) would involve trying to change the mother's cultural beliefs. Cultural awareness (D) is important but does not capture the active role the nurse is taking in this situation.
A school nurse wants to decrease the incidence of obesity in elementary school children. Which of
- A. Giving a presentation on the importance of exercise and physical fitness
- B. Designing a game in which students select healthy food choices
- C. Weighing students to identify those who are overweight
- D. Putting students on a diet if they weigh greater than 20% of their ideal weight
Correct Answer: A
Rationale: The correct answer is A because educating students on the importance of exercise and physical fitness promotes long-term healthy habits. This approach focuses on prevention rather than intervention, empowering children to make informed choices. Choice B may help students make healthy food choices but doesn't address the importance of physical activity. Choice C may lead to stigma and doesn't promote positive behavior change. Choice D is not recommended as putting students on a diet without proper guidance can be harmful.
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