Which step should the nurse take first when preparing to provide culturally competent care?
Assess the patient’s cultural beliefs and practices
Complete a cultural competence training program
Consult with a cultural liaison or interpreter
Review the patient’s medical history for cultural clues
The Correct Answer is A
Choice A reason: Assessing the patient’s cultural beliefs and practices first ensures care aligns with their values, promoting trust and effectiveness. This patient-centered approach guides subsequent actions, making it the priority step for cultural competence.
Choice B reason: Completing cultural competence training enhances knowledge but is a preparatory step, not the first action with a patient. Direct assessment of the patient’s beliefs ensures immediate relevance, making training secondary.
Choice C reason: Consulting a cultural liaison or interpreter is useful but follows assessment of the patient’s needs. Understanding specific beliefs first ensures targeted communication, making consultation a subsequent step in care delivery.
Choice D reason: Reviewing medical history may provide cultural clues but is less direct than assessing the patient’s current beliefs. Patient-reported cultural practices are more accurate, making history review a secondary action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Administering diphenhydramine treats allergic symptoms but does not address the ongoing transfusion reaction. Stopping the transfusion prevents further allergen exposure, making this a secondary action.
Choice B reason: Stopping the transfusion is the first action, as itching and hives indicate an allergic reaction. Halting the infusion prevents worsening symptoms, like anaphylaxis, making this the priority intervention.
Choice C reason: Notifying the provider is necessary but follows stopping the transfusion. Ceasing the infusion immediately mitigates the reaction, ensuring patient safety, making notification a subsequent step.
Choice D reason: Obtaining vital signs provides data but delays addressing the reaction. Stopping the transfusion halts allergen administration, taking precedence over assessment, making this a secondary action.
Correct Answer is B
Explanation
Choice A reason: Increasing the infusion rate is dangerous, as an aPTT of 92 seconds indicates excessive anticoagulation, risking bleeding. The therapeutic range is 1.5–2.5 times normal (45–75 seconds), making this incorrect.
Choice B reason: An aPTT of 92 seconds exceeds the therapeutic range, indicating over-anticoagulation. Decreasing the infusion rate reduces bleeding risk, aligning with protocol adjustments, making this the correct action.
Choice C reason: Continuing the current rate maintains excessive anticoagulation, as 92 seconds is above the therapeutic aPTT range. This risks hemorrhage, requiring rate adjustment, making this incorrect.
Choice D reason: Protamine sulfate reverses heparin in severe bleeding, but an aPTT of 92 seconds typically warrants rate reduction first. Without active bleeding, reversal is premature, making this incorrect.
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