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A nurse is planning to provide education to a group of clients who have diabetes mellitus. The group consists of clients from various cultural backgrounds, including Hispanic, African American, Asian, and Middle Eastern. Which strategy should the nurse use to promote cultural competence in health education?

Using standardized materials that are written in English and have pictures of people from different races and ethnicities.

Adapting the materials to reflect the cultural values, beliefs, and practices of each client group, and using appropriate language and examples.

Avoiding any mention of culture or diversity, and focusing on the scientific facts and evidence-based guidelines for diabetes management.

Asking each client group to share their own experiences and challenges with diabetes, and facilitating a discussion among them.

Answer and Explanation

The Correct Answer is B

Rationale: The nurse should use this strategy to promote cultural competence in health education, as it shows respect for the clients' culture and diversity, acknowledges their unique needs and preferences, and enhances their understanding and engagement.

Incorrect options:

A) Using standardized materials that are written in English and have pictures of people from different races and ethnicities. - This is not a culturally competent strategy, as it may not address the specific needs or concerns of each client group, and it may not be accessible or appropriate for clients who have limited English proficiency or literacy skills.

C) Avoiding any mention of culture or diversity, and focusing on the scientific facts and evidence-based guidelines for diabetes management. - This is not a culturally competent strategy, as it may ignore or dismiss the influence of culture on health behaviors, beliefs, and outcomes, and it may not be relevant or acceptable for clients who have different worldviews or values regarding health and illness.

D) Asking each client group to share their own experiences and challenges with diabetes, and facilitating a discussion among them. - This is not a culturally competent strategy, as it may put undue burden on the clients to educate each other or expose their personal information, and it may create conflict or misunderstanding among clients who have different perspectives or opinions.

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Correct Answer is A

Explanation

Rationale: The nurse indicates effective use of an interpreter by using this statement, as it follows the best practices for working with an interpreter, such as speaking directly to the client in short sentences, using clear and simple language, and avoiding jargon or slang.

Incorrect options:

B) "Can you ask the client if they have any questions about their medications?" - This is not an effective use of an interpreter , as it creates a barrier between the nurse and the client by asking the interpreter to ask the client directly. The nurse should directly address the client and ask if they have any questions about their medications.

C) "How do you say 'blood pressure' in Creole?" - While it may be helpful for the nurse to learn some basic Creole terminology, this statement does not indicate effective use of an interpreter. The nurse should focus on communicating the necessary information to the client and rely on the interpreter for accurate translation.

D) "Do you think the client understands what I am saying?" - This statement does not indicate effective use of an interpreter. Instead, the nurse should directly ask the client if they understand the instructions and information provided, and seek clarification or additional explanation if needed.

A. Using an interpreter to communicate with the client and family. B. Asking the client to teach the nurse some words in Mandarin. C. Assuming that the client follows traditional Chinese beliefs and practices. D. Giving the client a pamphlet about American health care system.

Correct Answer is A

Explanation

Rationale: The nurse demonstrates cultural competence by using an interpreter to communicate with the client and family, ensuring that the information is conveyed accurately and respectfully, and that the client's preferences and needs are understood.

Incorrect options:

B) Asking the client to teach the nurse some words in Mandarin. - This is not a culturally competent action, as it may put undue pressure on the client to educate the nurse, and it may not be relevant to the client's health care needs.

C) Assuming that the client follows traditional Chinese beliefs and practices. - This is not a culturally competent action, as it may lead to stereotyping and ignoring the individuality and diversity of the client.

D) Giving the client a pamphlet about American health care system. - This is not a culturally competent action, as it may imply that the American health care system is superior or more desirable than the client's own culture and values.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a client who has hypertension. The client is from Haiti and speaks Creole. The nurse uses an interpreter to communicate with the client. Which statement by the nurse indicates effective use of an interpreter?

Correct Answer is A

Explanation

A nurse is caring for a client who has recently immigrated from China and does not speak English. Which action by the nurse demonstrates cultural competence?

Correct Answer is A

Explanation

A nurse is conducting a health assessment for a client who identifies as Native American. The nurse notices that the client avoids eye contact during the interview. How should the nurse interpret this behavior?

A nurse is caring for a client who is Muslim and observes Ramadan. The client is scheduled to undergo a surgical procedure in the morning. Which action by the nurse demonstrates cultural sensitivity?