The nurse manager in a hospital with a large immigrant population is planning an in-service. The nurse manager is aware of how ethnocentrism affects nursing care. Which statement should the nurse manager include?
"The belief that one's own values and beliefs are the only or the best values:
1. "Means that newcomers to the United States should adopt U.S. norms and values."
2. "Can create barriers to communication through misunderstanding."
3. "Leads to an expectation that patients will exhibit pain the same way."
4. "Improves the quality of care provided to culturally diverse patient bases."
Correct Answer: 2
Rationale 1: Although acculturation involves adoption of some of the majority culture's practices and beliefs, each cultural group will continue to hold and express its own set of values and beliefs.
Rationale 2: Ethnocentrism is the conviction that one's own values and beliefs either are the only ones that exist or are the best. When the nurse assumes that a patient has the same values and beliefs as the nurse, misunderstanding will frequently occur, which in turn can negatively impact nurse–patient communication.
Rationale 3: Expression of pain is one area that varies greatly from one culture to another.
Rationale 4: The belief that one's own values and beliefs are the best will not improve the quality of care provided to culturally diverse patient bases.
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