What interrelated constructs facilitate a nurse to become culturally competent?
a. Cultural diversity, self-awareness, cultural skill, and cultural knowledge
b. Cultural desire, self-awareness, cultural knowledge, and cultural identity
c. Cultural desire, self-awareness, cultural knowledge, and cultural diversity
d. Cultural desire, self-awareness, cultural knowledge, and cultural skill
ANS: D
The process of cultural competence consists of four interrelated constructs: cultural desire, self-awareness, cultural knowledge, and cultural skill. Cultural diversity in the context of health care refers to achieving the highest level of health care for all people by addressing societal inequalities and historical and contemporary injustices. Cultural identity is the norms, values, beliefs, and behaviors of a culture learned through families and group members.
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Sarah, one of your RNs, tells you that she can't understand why Jim, an Aboriginal patient, wants to do a smudge. In coaching Sara, you suggest which of the following?
a. "Explain to Jim that there is no smoking in the hospital." b. "Inform Jim that fires are not allowed in the hospital." c. "Insist that he give you his tobacco be-cause it is unhealthy for him." d. "Ask him what he means by a smudge and what meaning it has for him."
The nurse observes that when an 8-year-old boy enters the playroom, he often causes disruption by taking toys from other children. The nurse's best approach for this behavior is to
a. Ban the child from the playroom. b. Explain to the children in the playroom that he is very ill and should be allowed to have the toys. c. Approach the child in his room and ask, "Would you like it if the other children took your toys from you?" d. Approach the child in his room and state, "I am concerned that you are taking the other children's toys. It upsets them and me."
In the world of work and service, you can create and sustain high-quality connections by all of the following except:
a. providing support. c. fostering admiration. b. showing appreciation. d. avoiding negative people.
During a healthcare visit, a client shows the nurse information that he has obtained from the Internet about his current condition
When discussing this information with the client, which of the following would be most important for the nurse to keep in mind? A) The information may be correct. B) The source needs to be verified. C) References must always be listed. D) The information is likely to be out-of-date.