What action by a nurse leader would best implement evidence-informed practice at a community nursing centre that serves a large Cuban immigrant population?

Correct Answer: C

Rationale: Rationale for Correct Answer (C): Including Cuban immigrants from the community on the centre's advisory board is the best action as it directly involves the key stakeholders in decision-making processes. This approach ensures cultural relevance, fosters trust, and promotes shared decision-making, all of which are essential for implementing evidence-informed practice effectively in a diverse community setting. By engaging Cuban immigrants in the advisory board, the nurse leader can gain valuable insights, perspectives, and feedback that can inform and tailor the centre's services to better meet the needs of the population. Summary of Incorrect Choices: A: Having university experts review policies may provide valuable insights but lacks direct involvement of the community members affected. B: Weekly staff meetings may promote discussion, but without direct input from the Cuban immigrant population, the decisions made may not fully align with their needs. D: Sending staff to conferences and seminars can enhance knowledge but does not actively involve the community in decision-making processes.

Correct Answer: D

Rationale: The correct answer is D because arranging a meeting with the family to discuss the consequences of their decision allows for open communication and exploration of alternative solutions. This approach respects the family's autonomy while also addressing potential negative outcomes of their decision. It promotes shared decision-making, ethical considerations, and holistic care. Choice A is incorrect because it doesn't address the potential consequences of the family's decision. Choice B is incorrect as it disregards the family's perspective and autonomy. Choice C is incorrect as it bypasses direct communication with the family and may not fully address their concerns.

Correct Answer: B

Rationale: The correct answer is B: Deontological ethics. Deontological ethics focuses on the inherent rightness or wrongness of actions, regardless of the consequences. In this scenario, the CHN is emphasizing the importance of respecting the family's autonomy and their decision-making authority regarding the ill family member. This aligns with deontological principles that prioritize individual autonomy and decision-making. Summary: A: Communitarianism emphasizes the common good of the community, not individual autonomy. C: Principlism includes principles like beneficence and non-maleficence, which are not directly applicable in this case. D: Utilitarianism focuses on maximizing overall happiness, which is not the primary concern in this scenario.

Correct Answer: B

Rationale: The correct answer is B: Caring. Caring is the central concept in nursing as it forms the foundation of the nurse-patient relationship and influences all aspects of patient care. Nurses provide holistic care by addressing the physical, emotional, social, and spiritual needs of patients. Compassionate care enhances patient outcomes and promotes healing. Explanation for other choices: A: Adapting to technology is important, but it is not the central concept in nursing. Technology supports nursing practice but does not replace the human connection and empathy that caring provides. C: Distinguishing nursing care from medical care is important, but it is not the central concept. While nursing care has its unique focus, caring remains the core value that distinguishes nursing from other healthcare professions. D: Seeking evidence-based outcomes is crucial for quality care, but it is a methodological approach rather than the central concept. Caring guides the application of evidence-based practices to ensure patient-centered care.

Correct Answer: A

Rationale: The correct answer is A because maintaining an open attitude that welcomes differences is a key aspect of cultural competency. This approach shows respect for diverse cultural backgrounds and allows for effective communication and understanding between the caregiver and the client. Choice B is incorrect because cultural neutrality may come off as insensitivity and lack of understanding. Choice C is incorrect as friendly gestures alone may not convey a deep understanding of cultural differences. Choice D is incorrect because cultural competency involves recognizing and adapting to individual cultural norms rather than using a one-size-fits-all approach.