When teaching a culturally diverse group of childbearing families about hospital birthing options, the culturally competent nurse:
1. Understands that the families have the same values as the nurse.
2. Teaches the families how childbearing takes place in the United States.
3. Insists that the clients answer questions instead of their husbands.
4. Incorporates the specific beliefs of the cultural groups that are attending the class.
4
Rationale 1: Assuming that the families have the same values as the nurse is ethnocentrism.
Rationale 2: Although it is important to explain health care during pregnancy and childbearing, this is not the top priority.
Rationale 3: The husband's answering questions might be a cultural norm, and insisting that the client answer could decrease the family's trust in the healthcare system.
Rationale 4: Cultural competence is the development of skills and knowledge necessary to appreciate, understand, and work with individuals from cultures other than the culture of the nurse. Through use of a cultural assessment tool, the nurse gains knowledge of the cultures that are likely to be encountered professionally, and in incorporating that knowledge into presentations, the nurse addresses the aspects of the client's culture that might impact how care can best be given to be accepted by the client.
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