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
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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Related Questions
Correct Answer is D
Explanation
A. Teach the client about support groups in the community: This is an example of tertiary prevention because it aims to support clients in coping with an existing health condition and prevent further complications through emotional and social support.
B. Inform the client about home health visits to monitor effectiveness of care: This represents tertiary prevention, as it focuses on monitoring and managing a diagnosed condition to prevent further deterioration or readmission.
C. Teach the client about modifications for activities of daily living skills: This is tertiary prevention, targeting improved function and adaptation to chronic illness or disability and helping the client maintain independence.
D. Inform the client about ongoing screening for high-risk conditions: This is secondary prevention, as it involves early detection and prompt intervention for conditions like hypertension or diabetes, aiming to halt progression before complications develop.
Correct Answer is D
Explanation
A. A durable medical power of attorney designates a trusted person to make healthcare decisions on behalf of the client if they become unable to do so. While important, it focuses on decision-making authority rather than specific treatment preferences.
B. A do-not-resuscitate (DNR) prescription specifically addresses whether resuscitation efforts should be initiated but does not cover broader end-of-life care preferences or wishes. It is one component of advance care planning but not the comprehensive document for overall wishes.
C. An organ donation card expresses the client’s wishes regarding donation of organs after death. Although valuable, it does not address broader end-of-life care decisions or treatments.
D. A living will is a legal document that details the client’s preferences for end-of-life care, including treatments they want to accept or refuse. It ensures that their wishes are honored when they cannot communicate, making it the most appropriate document for this purpose.
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