Which action indicates the nurse is meeting a primary goal of culturally competent care for marginalized patients?

Choice A reason: Intersectionality examines how overlapping identities (e.g., race, gender, socioeconomic status) shape unique experiences of health and care. Focusing on experiences allows nurses to address disparities and tailor interventions, ensuring equitable care. This approach recognizes systemic factors, critical for understanding patients’ barriers and needs in diverse healthcare contexts.

Choice B reason: Focusing on illness alone overlooks intersectionality’s emphasis on how social identities shape health experiences. Illness is a clinical factor, not a social construct like race or class. This narrow focus risks missing systemic inequities, reducing care effectiveness for patients with complex social determinants influencing their health outcomes.

Choice C reason: Values are personal beliefs, not the primary focus of intersectionality, which examines social identities and systemic inequities shaping experiences. Prioritizing values risks ignoring structural factors like discrimination, limiting the nurse’s ability to address disparities and provide culturally sensitive care critical for patients from marginalized backgrounds.

Choice D reason: Health is an outcome, not the focus of intersectionality, which explores how identities like ethnicity or gender create unique experiences of care access and treatment. Focusing on health alone misses social determinants, risking generic care that fails to address inequities, critical for equitable nursing practice in diverse populations.

Choice A reason: Short naps (15-20 minutes) are recommended for narcolepsy to manage excessive daytime sleepiness without disrupting nighttime sleep. This aligns with evidence-based management, improving alertness. No intervention is needed, as this practice supports symptom control, enhancing daily function and reducing sleep attacks in narcolepsy patients.

Choice B reason: Taking antidepressants, like SSRIs or SNRIs, is standard for narcolepsy to manage cataplexy or sleep disturbances. This is appropriate and requires no intervention unless misuse occurs. The nurse would ensure proper dosing, as antidepressants support symptom control, improving quality of life without disrupting narcolepsy management strategies.

Choice C reason: Chewing gum regularly is benign and unrelated to narcolepsy management. It may help with alertness but doesn’t warrant intervention. Unlike environmental factors like room temperature, gum has no significant impact on sleep quality or narcolepsy symptoms, making it an irrelevant focus for nursing education or correction.

Choice D reason: Sleeping in a hot, stuffy room disrupts sleep quality, exacerbating narcolepsy symptoms like fragmented sleep or daytime sleepiness. The nurse intervenes to promote a cool, well-ventilated sleep environment, critical for optimizing rest. Poor sleep hygiene worsens narcolepsy, reducing treatment efficacy and increasing risks of sleep attacks or fatigue.