A nurse caring for an older client learns that the

Question 1 of 5

A nurse caring for an older client learns that the client finds peace and comfort in a personal spiritual practice and aims to incorporate this into the plan of care. How can incorporating traditions and personal views in the plan of care demonstrate empathy to the individual's life experience?

A. It shows the nurse is willing to compromise their own beliefs to provide care. B. It allows the nurse to ignore the client's cultural practices. C. It demonstrates respect for the client's cultural practices and personal beliefs. D. It decreases health care costs.

Correct Answer: C

Rationale: Empathy honors client values. Demonstrating respect for spiritual practices , per nursing ethics, validates the client's life experience (e.g., prayer), enhancing well-being. Compromising beliefs misframes empathy. Ignoring practices contradicts care. Costs are unrelated. This shows cultural humility, making it the correct action.

Question 2 of 5

Which action should the nurse take when a client of a different culture than the nurse stares out the window while the nurse is providing preoperative instruction?

A. Stare out the window with the client. B. Move around the bed to stand in front of the client. C. Observe how the client uses eye contact. D. Stop the instruction and return later.

Correct Answer: C

Rationale: Cultural norms affect eye contact. Observing its use , per Giger and Davidhizar, assesses comfort (e.g., avoidance as respect in some cultures) without forcing engagement. Staring or moving may intrude. Stopping delays care. This informs communication, making it the correct action.

Question 3 of 5

Which action by a health care organization is an example of a leadership commitment to cultural competence?

A. Developing a policy for use of trained interpreters B. Enhancing client satisfaction C. Improving health care outcomes D. Increasing health care access to all individuals

Correct Answer: A

Rationale: Leadership drives systems. A policy for trained interpreters , per CLAS Standards, commits to LEP access, a concrete competence step. Satisfaction , outcomes , and access are goals, not actions. This ensures equity, making it the correct example.

Question 4 of 5

Using the National CLAS as a guide, which service should be offered to clients who have LEP?

A. Availability of interpreter services at a minimal fee B. Language assistance in the client's preferred language C. Interpretation services using family members D. Trained interpretation within 48 hours of hospital admission

Correct Answer: B

Rationale: CLAS mandates free, effective communication. Language assistance in the preferred language ensures LEP access without cost or delay, per standards. Fees or family use violate equity. Delayed service hinders care. This meets legal and ethical needs, making it the correct service.

Question 5 of 5

Which action by a nurse demonstrates conscious impermeability in the continuum of developing cultural humility?

A. The nurse spontaneously operates from a place of cultural humility. B. The nurse is aware of social inequities but struggles to demonstrate cultural humility in practice. C. The nurse performs a mindful act of learning how to become culturally humble. D. The nurse synergistically combines cultural competence and humility.

Correct Answer: B

Rationale: Conscious impermeability is an early stage. Awareness of inequities with struggle , per humility continua, shows recognition without full integration (e.g., knowing bias but not acting). Spontaneous humility or synergy are advanced. Mindful learning is next. This fits the stage, making it the correct action.

A nurse caring for an older client learns that the client finds peace and comfort in a personal spiritual practice and aims to incorporate this into the plan of care. How can incorporating traditions and personal views in the plan of care demonstrate empathy to the individual's life experience?

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