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 A

Explanation

A. "I will discard the syringes in a metal container." - Using a heavy-duty metal or hard plastic container with a tight-fitting, puncture-proof lid is a proper method for disposing of used syringes. This reduces the risk of needle sticks and prevents others from accessing the used sharps.

B. "I will wear gloves when I discard the syringes." - While wearing gloves during disposal can be a good practice for personal protection, the primary focus should be on the proper containment and disposal of used syringes.

C. "I will take containers of used syringes to the local recycling center." - Used syringes are considered biohazardous waste and should not be disposed of in regular recycling centers. They require special handling and disposal to prevent the risk of injury or contamination.

D. "I will store used syringes in a biohazard bag before discarding." - Biohazard bags are not typically used for the disposal of sharps. A puncture-proof container is the recommended method for sharps disposal.

A. Help clients gather needed supplies. B. Address the physical needs of clients. C. Explore feelings the clients are experiencing. D. Create diversionary activities for children.

Correct Answer is B

Explanation

A. Help clients gather needed supplies.

Incorrect: While helping clients gather supplies is important, addressing their physical needs, including providing these supplies directly, takes precedence. The focus should be on immediate assistance rather than guiding them to gather resources on their own.

B. Address the physical needs of clients.

Correct: This is the priority action because ensuring individuals have access to essential resources like food, water, shelter, and medical care is crucial for their immediate well-being and safety.

C. Explore feelings the clients are experiencing.

Incorrect: Emotional support is essential, but it becomes a priority after addressing the immediate physical needs. Exploring feelings and providing psychological support are crucial aspects of disaster response but are secondary to ensuring physical well-being.

D. Create diversionary activities for children.

Incorrect: While creating activities for children is important for their well-being, it is a lower priority than addressing their immediate physical needs. Once the basic necessities are met, diversionary activities can contribute to the emotional well-being of the affected individuals.

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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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