A home health nurse is discussing how to meet the needs of a diverse client population with a newly licensed nurse. The nurse should include which of the following as an example of a nurse incorporating culturally competent care?
Integrating a client's desire to use acupuncture to manage pain into their plan of care.
Informing the guardian of a child that the use of cupping to prevent illness is a form of child maltreatment.
Using a family member as an interpreter when caring for a client who speaks a different language than the nurse.
Instructing a client who is pregnant and has gestational diabetes mellitus that they must avoid the use of herbal
The Correct Answer is A
Choice A reason: This demonstrates cultural competence by acknowledging and incorporating the client's cultural practices into their care plan.
Choice B reason: This statement does not demonstrate cultural competence but rather a lack of understanding and respect for the client's cultural practices.
Choice C reason: While family members can be helpful, using a professional interpreter is recommended to ensure accurate communication and to maintain confidentiality.
Choice D reason: Advising against the use of herbal teas does not reflect cultural competence. A culturally competent approach would involve discussing the client's beliefs and providing evidence-based guidance.
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Correct Answer is D
Explanation
Choice A reason: Veracity refers to the obligation to tell the truth and would not be the primary ethical principle demonstrated in this scenario.
Choice B reason: Nonmaleficence means to do no harm, which is an important principle but not the focus of the nurse's response in this context.
Choice C reason: Beneficence involves actions that promote the well-being of others. While the nurse's support could be seen as beneficent, it is not the principle that best describes the nurse's response.
Choice D reason: Autonomy is the principle that respects the patient's right to make their own decisions. The nurse's response supports the client's autonomy in making healthcare decisions.
Correct Answer is ["A","C","D"]
Explanation
Choice A reason: Financial instability can be a significant stressor in families and may contribute to an increased risk of child abuse.
Choice B reason: Having a pet, such as an indoor cat, is not a recognized risk factor for child abuse and does not place
the child at an increased risk.
Choice C reason: If one parent appears frightened of the other, it may suggest the presence of domestic violence, which is a known risk factor for child abuse.
Choice D reason: A history of alcohol use disorder in a parent is associated with an increased risk of child abuse, as substance abuse can impair judgment and lead to harmful behaviors.
Choice E reason: Spending time with grandparents, in itself, is not a risk factor for child abuse and does not place the child at an increased risk.
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