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

Correct Answer: B

Rationale: The correct answer is B: Language assistance in the client's preferred language. According to the National CLAS standards, providing language assistance in the client's preferred language is crucial for individuals with Limited English Proficiency (LEP) to ensure effective communication and quality care. Offering interpreter services at no cost in the client's preferred language aligns with the principles of cultural and linguistic competence. Choice A is incorrect because charging a minimal fee for interpreter services may create barriers to access for clients with LEP. Choice C is incorrect as using family members as interpreters can compromise confidentiality and accuracy of communication. Choice D is incorrect as timely interpretation services should be provided immediately when needed, not within a specific timeframe like 48 hours.

Correct Answer: C

Rationale: The correct answer is C because decolonization involves recognizing and challenging dominating colonial influences. This action aims to dismantle systems of oppression and power imbalances rooted in colonial history. By acknowledging and confronting these influences, nurses can promote cultural humility, equity, and respect for diverse perspectives. Incorrect answers: A: Enforcing Eurocentric ideologies perpetuates cultural dominance and fails to address colonial legacies. B: Prioritizing certain cultural perspectives over others reinforces hierarchies and may marginalize marginalized groups. D: Eliminating traditional healing practices disregards cultural diversity and restricts patient autonomy in healthcare decision-making.

Correct Answer: A

Rationale: Rationale: Choice A is correct as it indicates that the nurse consistently operates from a place of cultural humility, showing awareness, respect, and openness to learning from diverse cultures. This reflects a conscious effort to engage in self-reflection and ongoing learning. Choices B, C, and D either mention struggling to demonstrate cultural humility or imply a lack of proactive effort in actively practicing cultural humility, which are not reflective of conscious impermeability in the continuum of cultural humility development.

Correct Answer: A

Rationale: Step 1: The "E" in the "A-S-K-E-D" mnemonic stands for "Examine your biases and prejudices." Step 2: Answer choice A directly addresses this aspect by asking, "Am I aware of my prejudices and biases and the presence of racism and other 'isms'?" Step 3: This question prompts the nurse to reflect on their own potential biases and prejudices, which is crucial for providing culturally competent care. Step 4: Therefore, answer choice A is the correct choice as it aligns with the specific aspect of self-examination related to addressing biases and prejudices. Summary: - Choice B focuses on conducting assessments in a culturally sensitive manner, not on examining biases. - Choice C emphasizes knowledge about different cultures, not self-reflection on biases. - Choice D talks about resolving conflicts and interacting with different cultures, but not specifically about examining biases and prejudices.

Correct Answer: C

Rationale: The correct answer is C: In-Group Favoritism. In-group favoritism is when a nurse shows a preference for individuals within their own social identity group. This bias leads to a more positive evaluation of individuals in the in-group. This occurs due to a sense of belonging, shared values, and familiarity within the in-group. Out-Group Homogeneity (A) refers to perceiving members of an out-group as more similar to each other than they really are. Confirmation Bias (B) is the tendency to search for, interpret, and remember information that confirms one's preexisting beliefs. Limited Interactions (D) does not specifically relate to the scenario described in the question.