The nurse is preparing to teach a patient of the Asian culture to perform postoperative dressing changes at home after discharge. Which statement made by the nurse indicates cultural competence?
a. "Tell me how you feel about your surgery."
b. "Asian people are smart, so this should be easy for you to understand."
c. "American surgeons are highly qualified; I'm sure you will heal quickly."
d. "Will you tell me about any traditional healing practices that you would like to use?"
ANS: D
D. Cultural sensitivity is using language and statements that do not offend another person's cultural beliefs. Cultural competence includes the skills and knowledge required to provide effective nursing care. The use of traditional healers and healing therapies is common for Asian individuals, and assessing the patient's desire to use such healers or therapies shows the nurse is culturally sensitive and competent to provide care. B. This statement represents a stereotype—an opinion or belief about a group of people which is ascribed to an individual. C. This statement exemplifies ethnocentrism or the tendency for people to think that their ways of thinking, acting, and believing are the only right, proper, and natural ways. A. This is an assessment designed to elicit the patient's emotional reaction to the surgery. This may be an important part of adult learning, but it is not the best option to represent cultural competence.
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