Nokea
Which of the following policies are congruent with the principles of culturally competent nursing care? Mark all that apply.
- A. A policy that outlines the appropriate use of translation services
- B. A policy guiding staff in the care of patients with different values
- C. A policy that requires staff from different cultures on each unit
- D. A policy that establishes flexible regulations pertaining to visitors
- E. A policy that gives priority to patients born outside the United States
Correct Answer: A,B,D
Rationale: Policies that promote culturally competent care establish flexible regulations pertaining to visitors (number, frequency, and length of visits), provide translation services for nonEnglish-speaking patients, and train staff to provide care for patients with different cultural values. Cultural competence does not depend on culturally diverse staff on every unit and it does not necessarily prioritize the interests of individuals born outside the country.
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When categorizing this particular complementary therapy, the nurse should identify it as which of the following?
- A. A biologically based therapy
- B. A mind-body intervention
- C. A manipulative and body-based method therapy
- D. An energy therapy
Correct Answer: D
Rationale: Therapeutic touch is an example of an energy therapy. Biologically based therapies include herbal therapies, special diet therapies, orthomolecular therapies, and biologic therapies. Mind-body interventions include meditation, dance, music, art therapy, prayer, and mental healing. Manipulative and body-based methods include chiropractic, massage therapy, osteopathic manipulation, and reflexology.
How can this goal be best accomplished?
- A. By offering multicultural health studies in nursing curricula
- B. By enhancing the content of community nursing classes
- C. By requiring students to care primarily for patients from other ethnic groups
- D. By screening applicants according to their cultural competence
Correct Answer: A
Rationale: Nursing programs are exploring creative ways to promote cultural competence and humanistic care in nursing students, including offering multicultural health studies in their curricula. Enhancing the content of community nursing classes would not necessarily achieve this goal. Matching students to patients from other cultures is often impractical and applicants are not screened by their cultural competence.
How can the nurse best demonstrate an awareness of culturally congruent care?
- A. Maintain eye contact at all times.
- B. Try to speak the patients native language.
- C. Use touch when communicating.
- D. Establish effective communication.
Correct Answer: D
Rationale: Establishment of an environment of culturally congruent care and respect begins with effective communication, which occurs not only through words, but also through body language and other cues, such as voice, tone, and loudness. Not all cultures are comfortable with eye contact. Unless you are fluent in the patients native language, trying to communicate in that language would not be effective communication. Not all cultures incorporate touch while communicating.
When reviewing a hospitals current policy framework, which of the following actions has the potential to improve the overall level of culture competence?
- A. Reducing the institutions dependence on English for communication
- B. Promoting members of minority groups to higher profile positions
- C. Eliminating written information from staff members identification badges
- D. Creating greater flexibility in visiting hours
Correct Answer: D
Rationale: Policies that promote culturally competent care establish flexible regulations pertaining to visitors, such as the number, frequency, and length of visits. Eliminating written information from staff members identification badges is unnecessary and of little benefit. Cultural competence does not require a reduction in the use of English. Promoting members of minority groups to higher profile positions on the sole basis of ethnicity would be unethical.
In which of the following groups are these disparities most evident?
- A. Urban men
- B. People with disabilities
- C. People who are single
- D. Middle-aged adults
Correct Answer: B
Rationale: Health disparities are noted among women, gays and lesbians, and people with disabilities. Specific health disparities have not been found among men, the middle-aged, or single people.