The nurse manager is preparing for an accreditation visit and wants to assure that the unit is delivering culturally appropriate health care. Which of the following would demonstrate this approach by the nurse manager?
1. Insisting the staff teaches clients English during their hospitalization.
2. Examining the process used to admit clients.
3. Providing written materials in languages spoken most commonly by clients admitted to the unit.
4. Limiting education and training to the bedside nurses.
3
Rationale 1: Requiring English be taught to clients admitted to the hospital does not promote the value of other cultures and promotes a sense of ethnocentrism.
Rationale 2: The process used to admit clients may be included in the road to accreditation but does not directly address the delivery of culturally responsible care.
Rationale 3: The National Standards for Culturally and Linguistically Appropriate Services in Healthcare outlines 14 valid approaches for health care to assure that cultural competency is provided.
Rationale 4: Nurses at the bedside require education to maintain competency and learn new skills.
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The NLN first required baccalaureate nursing programs to include public health content for accreditation at which time?
A) 1912 B) 1944 C) 1946 D) 1963
The nurse is actively managing the intravenous fluid administration for a patient who has developed cardiogenic shock after a myocardial infarction
When performing this aspect of nursing care, what principle should guide the nurse's decision making? A) Adequate fluid resuscitation must be balanced against the risk of fluid overload. B) Intravenous fluid should be infused as quickly as possible in emergency treatment. C) In order to prevent increased afterload, the patient should not receive more than 125 mL of total intravenous fluid in 60 minutes. D) Temporary fluid restriction reduces cardiac workload and improves cardiac output.
Key indicators in the United States reveal a gap between the overall American population and people of different genders and ethnicities. When does marginalization occur?
A) People who have difficulty in accessing care B) Individuals with higher rates of morbidity C) People who live below the poverty level D) Individuals who have negative outcomes when receiving care
The nurse understands that which of the following organizational factors have been shown to contribute to errors and safety problems in healthcare? Select all that apply
a. Inadequate financial resources b. Inadequate training of personnel c. Inadequate staffing in the organization d. Staff reluctance to speak up about risks and errors