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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Contact the local health department.

Contacting the local health department may be necessary for additional support, but it is not the initial action required in the immediate assessment and management of individuals with symptoms.

B. Notify the parents of the students.

Notifying parents is important, but it is a secondary step. The immediate concern is to assess and address the well-being of the affected students.

C. Establish a triage area.

Explanation: The priority in this situation is to assess and prioritize the individuals who are experiencing symptoms. Establishing a triage area allows the nurse to quickly evaluate the severity of symptoms, identify those in need of immediate attention, and organize the response accordingly.

D. Administer oxygen therapy.

Administering oxygen therapy is a treatment intervention that should be based on individual assessments and may not be the first step. Establishing a triage area allows for a systematic approach to identifying and prioritizing individuals in need of specific interventions, including oxygen therapy.

A. Initiate topics of conversation that avoid the client's health status. B. Recommend the client seek out hospice services rather than seek treatment. C. Place the client's name and medical condition on an online prayer chain. D. Provide quiet time during visits for prayer or meditation

Correct Answer is D

Explanation

A. Initiate topics of conversation that avoid the client's health status.

Explanation: Avoiding discussions about the client's health status may hinder open communication and the expression of the client's feelings and concerns. It is essential to provide an opportunity for the client to discuss their thoughts and emotions if they wish to do so.

B. Recommend the client seek out hospice services rather than seek treatment.

Explanation: While hospice services may be appropriate for end-stage cancer care, recommending hospice should be based on a comprehensive assessment of the client's wishes and needs. The decision to pursue treatment or hospice is a personal one, and the nurse should support the client's choices after thorough discussion.

C. Place the client's name and medical condition on an online prayer chain.

Explanation: Privacy and confidentiality are critical in healthcare. Sharing the client's name and medical condition on an online platform may compromise confidentiality. It's essential to respect the client's privacy and obtain their consent before sharing personal information.

D. Provide quiet time during visits for prayer or meditation.

Explanation: Providing quiet time during visits for prayer or meditation recognizes the spiritual and emotional needs of the client. It allows the client to engage in activities that bring comfort, peace, and reflection. Creating a supportive and contemplative environment aligns with the holistic care approach, acknowledging the importance of spiritual well-being during the end-of-life journey.

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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?

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