A nurse wishes to develop cultural competence. Which of the following actions should the nurse take first?
Study the beliefs and traditions of persons living in other cultures.
Complete a survey of all the various ethnicities represented in the nurse's community.
Consider how the nurse's own personal beliefs and decisions are reflective of his or her culture.
Invite a family from another culture to join the nurse for an event.
The Correct Answer is C
A. Study the beliefs and traditions of persons living in other cultures: While learning about other cultures is important, it should follow self-reflection to prevent ethnocentric judgments.
B. Complete a survey of all the various ethnicities represented in the nurse's community: This provides demographic knowledge but does not help the nurse develop personal cultural competence.
C. Consider how the nurse's own personal beliefs and decisions are reflective of his or her culture. Cultural competence begins with self-awareness. Nurses must first recognize how their own cultural background, beliefs, and biases influence their interactions with patients before effectively understanding and respecting others' cultures.
D. Invite a family from another culture to join the nurse for an event: While engaging with diverse groups is beneficial, it is not the first step in cultural competence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Having the knowledge and skill set needed to advocate for the patient, but not being able to act on it due to not having the authority to do so. Moral distress occurs when a nurse knows the right action to take but is constrained by external factors such as policies, hierarchy, or legal limitations.
B. Having the authority to call off a code, then realizing the decision was harmful to the patient. This describes moral regret or ethical uncertainty, not moral distress. Moral distress occurs when a nurse is unable to act according to their ethical beliefs.
C. Having the authority to override a physician's order for pain medication. This describes an ethical dilemma rather than moral distress. Moral distress arises when a nurse cannot act despite knowing the right course of action.
D. Having the knowledge and skill set needed to provide culturally competent care. Cultural competence is an important aspect of nursing, but it does not describe moral distress, which involves ethical conflict and external barriers.
Correct Answer is B
Explanation
A. Clients with HIV infection are encouraged to use condoms to protect sexual partners. This is an example of primary prevention, which aims to prevent disease transmission before it occurs.
B. Health care workers are required to have a tuberculosis skin test or chest X-ray. Secondary prevention involves early detection and screening to identify disease in its early stages before symptoms develop or to prevent progression. TB screening (skin tests or chest X-rays) allows for early identification and treatment, preventing further transmission and severe disease.
C. Health care workers are encouraged to receive annual vaccinations for influenza. This is also primary prevention because vaccinations help prevent initial infection.
D. Clients with HIV infection are given medications to improve immunological response. This represents tertiary prevention, which focuses on managing existing disease to prevent complications.
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