A community health nurse is planning care for a group of migrant workers. The nurse should plan to engage in which of the following activities when assessing the clients' culture?
Ask for assistance from local spiritual leaders if there is a language barrier.
Collect all the data on the first visit with the workers.
Interview community leaders for a perspective of community life.
Incorporate one's implicit bias into planned delivery of care.
The Correct Answer is C
A. Ask for assistance from local spiritual leaders if there is a language barrier:
While engaging local spiritual leaders can be beneficial for understanding cultural nuances, addressing language barriers is a separate issue. Seeking assistance from interpreters or language services would be more appropriate for overcoming language barriers.
B. Collect all the data on the first visit with the workers:
Collecting all data on the first visit may be overwhelming and may not allow for the establishment of trust and rapport with the migrant workers. A more gradual and respectful approach to data collection is often advisable in cross-cultural nursing care.
C. Interview community leaders for a perspective of community life.
Interviewing community leaders provides valuable insights into the cultural context, norms, and values of the migrant workers. Community leaders often have a deep understanding of their community's dynamics, which can guide the nurse in providing culturally competent care.
D. Incorporate one's implicit bias into planned delivery of care:
This statement is not appropriate. Implicit bias should be recognized and actively addressed, rather than incorporated into care. Culturally competent care involves recognizing and challenging one's biases to ensure fair and equitable treatment for all individuals, regardless of their cultural background.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A 4-month-old infant who has Down syndrome - Down syndrome itself is not a contraindication for altering the standard immunization schedule. Immunizations are typically administered based on chronological age.
B. An 18-month-old toddler who has failure to thrive - Failure to thrive, without specific contraindications, does not usually require alterations in the standard immunization schedule. Immunizations are generally administered based on chronological age.
C. A 12-month-old infant who has sickle cell disease - Sickle cell disease itself is not a contraindication for altering the standard immunization schedule. Immunizations are typically administered based on chronological age.
D. A 3-year-old toddler who has leukemia - Children with leukemia may have altered immune function due to their medical condition and treatment. In such cases, the immunization schedule may need to be adjusted based on the child's specific health status, following consultation with the healthcare provider.
Correct Answer is C
Explanation
A. Clostridium difficile
Clostridium difficile is primarily transmitted via the fecal-oral route, and standard precautions (including hand hygiene and contact precautions) are appropriate for preventing its spread.
B. Respiratory syncytial virus (RSV)
RSV is primarily transmitted through respiratory droplets, and standard precautions, as well as contact precautions, are typically sufficient to prevent transmission.
C. Disseminated herpes zoster
Explanation: Airborne precautions are required for diseases that are transmitted via small droplets that remain suspended in the air. Disseminated herpes zoster (shingles) is one such condition that requires airborne precautions due to the potential for airborne transmission.
D. Influenza
Influenza is primarily transmitted through respiratory droplets, and standard precautions (including hand hygiene, respiratory hygiene, and mask use) are typically employed to prevent transmission. Airborne precautions are not routinely required for influenza.
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