A nurse is striving to be culturally competent. Which of the following actions would most likely be taken by the nurse?

Correct Answer: A

Rationale: The correct answer is A because cultural competence involves respecting individuals from different cultures and valuing diversity. This includes understanding and appreciating different cultural beliefs, values, and practices. Option B is incorrect as immersion alone does not guarantee cultural competence. Option C is incorrect as it may lead to stereotyping and overlooking individual differences within a culture. Option D is incorrect as it goes against empowering clients in decision-making processes. In summary, being culturally competent involves respect, understanding, and valuing diversity.

Correct Answer: C

Rationale: The correct answer is C: Culture brokering. Culture brokering involves a healthcare provider helping bridge the gap between a patient's cultural beliefs/practices and evidence-based healthcare. In this scenario, the nurse is respectfully addressing the mother's cultural beliefs (using special candles) while also providing medical advice (antibiotics). This approach fosters communication and understanding, ultimately leading to better healthcare outcomes. Explanation for other choices: A: Cultural accommodation typically involves adapting healthcare practices to align with a patient's cultural beliefs without necessarily addressing conflicting medical advice. B: Cultural repatterning involves encouraging a patient to change cultural practices that may be detrimental to their health, which is not evident in the scenario. D: Cultural awareness refers to understanding and respecting diverse cultural backgrounds but does not involve actively facilitating communication or addressing conflicting beliefs as seen in culture brokering.

Correct Answer: C

Rationale: The correct answer is C: Racism. Segregation based on race indicates systematic discrimination and unequal treatment of individuals due to their racial background. Racism involves a belief in the superiority of one race over others, leading to discrimination and marginalization. Prejudice (A) is a preconceived opinion not based on reason or actual experience. Cultural imposition (B) refers to forcing one's own cultural beliefs onto others. Stereotyping (D) involves oversimplified and generalized beliefs about a particular group. In this context, the city laws promoting segregation were a result of racism, not just prejudice, cultural imposition, or stereotyping.

Correct Answer: B

Rationale: The correct answer is B: Culture brokering. This term best describes the nurse's action of advocating and intervening between the health care system and the client's cultural beliefs. Culture brokering involves facilitating communication and understanding between different cultural perspectives to ensure the client's needs are met. A: Cultural accommodation refers to adapting one's own behavior to align with the client's cultural beliefs, not necessarily intervening between the health care system and the client. C: Cultural preservation involves maintaining and safeguarding cultural practices and beliefs, which is not the primary role of the nurse in this scenario. D: Cultural repatterning involves changing or modifying a client's cultural beliefs or practices, which is not the nurse's role in this context. Therefore, the best term to describe the nurse's action in this scenario is culture brokering because it involves actively mediating and advocating for the client's cultural beliefs within the health care system.

Correct Answer: D

Rationale: Cultural blindness refers to the tendency to ignore cultural differences. This is the correct answer as it specifically addresses the act of disregarding cultural distinctions. Choice A, cultural conflict, involves recognizing differences. Choice B is not a valid term. Choice C, culture shock, refers to the disorientation when encountering a new culture, not the ignorance of cultural differences. Thus, D is the best answer.