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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Herd immunity: Herd immunity occurs when a large portion of the population is immune, reducing the spread of disease. However, the individual receiving the vaccine develops active immunity, not herd immunity.

B. Natural immunity: Natural immunity occurs after infection and recovery, not from vaccination.

C. Acquired immunity: While acquired immunity includes both active (vaccination or infection) and passive (antibodies from mother or immunoglobulin) immunity, the most specific answer is active immunity.

D. Active immunity: Vaccines stimulate the immune system to develop long-term immunity by producing antibodies against the virus.

A. Explain that the process of postpartum recovery does not require this much rest and require that she provide infant care. B. Reinforce the importance of bonding and that all good mothers gladly assume these responsibilities. C. State that she must abide by hospital policy because documentation of the mother's ability to give the infant care is required for discharge. D. Allow family members to provide the newborn's care and assess the mother's knowledge of child care through discussion.

Correct Answer is D

Explanation

A. Explain that the process of postpartum recovery does not require this much rest and require that she provide infant care. This disregards cultural norms and imposes a Western view of postpartum care, which is not culturally competent.

B. Reinforce the importance of bonding and that all good mothers gladly assume these responsibilities. This is judgmental and does not acknowledge that bonding can occur in different ways, including through family support.

C. State that she must abide by hospital policy because documentation of the mother's ability to give the infant care is required for discharge. This approach is rigid and does not consider the patient's cultural background or alternative ways to assess knowledge.

D. Allow family members to provide the newborn's care and assess the mother's knowledge of child care through discussion. Cultural competence involves respecting diverse traditions and practices while ensuring safe patient care. In many cultures, postpartum care emphasizes maternal rest while family members care for the newborn. The nurse should assess the mother's knowledge without forcing her into an unfamiliar practice.

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A nurse wishes to develop cultural competence. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

Correct Answer is D

Explanation

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