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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 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.

A. Asking the client if they would like to pray before the surgery. B. Informing the client that they can break their fast for medical reasons. C. Offering the client a light breakfast before the surgery. D. Respecting the client's decision to fast until sunset.

Correct Answer is B

Explanation

The nurse demonstrates cultural sensitivity by informing the client that they can break their fast for medical reasons, as this is an exception that is allowed in Islam. The nurse should respect the client's religious beliefs and practices, but also provide accurate and relevant information that may affect their health and safety.

Incorrect options:

A) Asking the client if they would like to pray before the surgery. - This is not a culturally sensitive action, as it may imply that the nurse is questioning or challenging the client's faith or devotion.

C) Offering the client a light breakfast before the surgery. - This is not a culturally sensitive action, as it may disregard the client's religious obligation to fast during Ramadan.

D) Respecting the client's decision to fast until sunset. - This is not a culturally sensitive action, as it may compromise the client's health and safety before undergoing surgery.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 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?

Correct Answer is B

Explanation

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?

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?