The nurse is admitting a client who is from Kenya to the psychiatric unit. Which of the following actions will demonstrate cultural competence?
1. Arrange for an interpreter to assist.
2. Ask a family member to stay during the assessment interview.
3. Follow the admission assessment form.
4. Talk with the client to determine fluency in English.
4
Rationale: In planning culturally competent care, the nurse must not make assumptions regarding a client's language preference and/or cultural needs. The nurse does not follow a predetermined plan for assessing clients, but instead takes the time to determine client needs based on the client's responses. Arranging for an interpreter or asking a family member to stay makes a predetermined assumption about the client's cultural needs or issues before a thorough assessment is done. While following an admission assessment form may assist the nurse in the process of admitting the client, assessing the client's cultural preferences requires time and creativity to which a predetermined assessment form may not lend itself.
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