The nurse is attempting to deliver culturally competent care to a patient from an unusual culture the nurse has never encountered before. The patient is becoming irritated. What actions might be causing barriers to cultural competence?
1.
Planning care according to the nurse's textbook
2.
Showing distaste when the patient explains her diet
3.
Applying what was learned on the Internet into the plan of care
4.
Asking the patient about their beliefs and customs
5.
Helping the patient choose food for tomorrow's meal
ANS: 1, 2, 3
Standardized plans of care do not incorporate the patient's individual cultural needs, which can create a barrier to cultural competence. Showing distaste when the patient describes favorite foods can result in a barrier to culturally competent care. While learning about the patient's culture is a positive step, the patient may not share every belief and custom, so it is important to individualize care to avoid barriers.
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