A public health nurse is assisting a client who is a recent immigrant and is hesitant to utilize community resources. Which of the following action should the nurse take to provide culturally competent care? (Select all that apply.)

Use a family member as an interpreter when discussing services.

Explain that the client must use the available resources

Learn more about the client's values

Support the client as the owner of their own healthcare.

Review the client's current health practices

Answer and Explanation

Correct Answer : C,D,E

A. Use a family member as an interpreter when discussing services: Using a family member as an interpreter can lead to miscommunication, privacy issues, and misinterpretation of medical information. Professional interpreters should always be used to ensure accurate and confidential communication.

B. Explain that the client must use the available resources: Forcing a client to use services without considering their cultural values and personal preferences is not culturally competent care. This approach can alienate the client and reduce trust in the healthcare system.

C. Learn more about the client's values: Understanding the client’s cultural values helps the nurse tailor interventions and communication in a way that respects the client’s worldview and fosters trust in the nurse-client relationship.

D. Support the client as the owner of their own healthcare: Empowering the client promotes autonomy and respects their cultural beliefs, leading to more personalized and respectful care, which is key in culturally competent practice.

E. Review the client’s current health practices: Learning about the client’s existing health behaviors helps the nurse understand how cultural beliefs influence health decisions and how to integrate care without disrupting practices important to the client.

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Correct Answer is D

Explanation

A. Working with clients to develop services promotes direct client care and community health but is more aligned with client or community advocacy rather than legislative advocacy. It focuses on service delivery rather than influencing laws or policies.

B. Translating medical terminology into basic terms improves communication and client understanding, which supports client advocacy and education but does not involve efforts to change legislation or policy.

C. Building partnerships between providers, practitioners, and clients fosters collaboration and coordinated care. While important, this activity is more related to community or organizational advocacy rather than legislative advocacy.

D. Working with nursing organizations to facilitate health policy directly involves efforts to influence laws, regulations, or policies affecting healthcare. Legislative advocacy includes activities such as lobbying, policy development, and working with lawmakers to shape healthcare legislation.

A. Consulting with the provider throughout a client's course of treatment B. Providing recommendations to a client about alternatives to treatments prescribed by their provider C. Verifying a provider's licensure before referring the client to them D. Determining a client's literacy level before providing advance directive documents

Correct Answer is B

Explanation

A. Consulting with the provider throughout a client's course of treatment: Consulting with providers is a collaborative practice that supports coordinated care and is a standard professional responsibility, not typically a liability concern for case managers.

B. Providing recommendations to a client about alternatives to treatments prescribed by their provider: Making treatment recommendations without proper authorization or outside the scope of practice can lead to liability issues. Case managers must avoid advising clients to alter prescribed treatments and instead facilitate communication between clients and providers.

C. Verifying a provider's licensure before referring the client to them: Verifying licensure ensures the provider’s credentials are valid and protects clients from unqualified practitioners. This is a standard safety practice and does not pose liability for the case manager.

D. Determining a client's literacy level before providing advance directive documents:
Assessing literacy helps tailor education and ensures client understanding, which supports informed decision-making and reduces liability risks related to inadequate communication. This is a prudent nursing action, not a liability concern.

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A public health nurse is assisting a client who is a recent immigrant and is hesitant to utilize community resources. Which of the following action should the nurse take to provide culturally competent care? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

nurse is teaching newly licensed nurses about types of advocacy in the community. Which of the following examples should the nurse include when discussing legislative advocacy?

Correct Answer is D

Explanation

A case management nurse is providing education about liability to a newly licensed nurse. Which of the following should the nurse include as an example of a liability concern for case managers?

Correct Answer is B

Explanation

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