When assessing the client's bowel elimination, the nurse understands that which is not a factor?

The action that best demonstrates cultural competence is for the nurse to ask the clients what matters most to them in their illness and treatment.

Cultural competence describes the ability to effectively interact with people belonging to different cultures.

The importance of cultural competence in nursing focuses on health equity through patient-centered care, which requires seeing each patient as a unique person1.

Choice B is not the correct answer because telling clients that they should not continue taking herbs does not demonstrate cultural competence.

Choice C is not the correct answer because asking clients if they utilize shaman does not demonstrate cultural competence.

Choice D is not the correct answer because telling clients that they should follow the provider’s orders does not demonstrate cultural competence.

Working.

The working phase of the therapeutic relationship is when the nurse and client work together to develop and implement strategies to achieve the client’s goals.

In this case, the goal is to reduce weight, so the nurse and client are working on strategies to achieve that goal.

Choice A is not an answer because the pre-interaction phase occurs before the nurse and client meet and involves the nurse preparing for the first interaction with the client.

Choice B is not an answer because the orientation phase is when the nurse and client get to know each other and establish trust and rapport.

Choice D is not an answer because the termination phase occurs when the therapeutic relationship ends and involves evaluating progress and planning for future care.