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

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.

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.

Correct Answer: C

Rationale: Process measures track care delivery actions. Per the test, aspirin within 24 hours for MI is a process measure what was done aligned with AHRQ definitions, focusing on guideline adherence. DVT post-hip replacement and 30-day mortality are outcomes what happened reflecting results, not actions. ICU physician training is a structure measure how care is organized not a process. Process measures ensure evidence-based steps occur, like timely aspirin reducing MI mortality, making this the correct choice per quality frameworks.

Correct Answer: C

Rationale: Patient-centered care empowers. Involving patients in decision-making , per the test and IOM, respects preferences (e.g., treatment options), aligning with HCAHPS goals. Exceeding expectations isn't feasible. Technical terms confuse. Queue-jumping is unfair. Shared decision-making improves satisfaction and adherence, making it the correct element.

Correct Answer: D

Rationale: Decision support guides, doesn't enforce. Linking orders to indications , per the test, lacks active guidance (e.g., suggestions), unlike alerts , reminders , or order sets , per HIMSS definitions. It's a rule, not support. True decision support aids clinical judgment, making this the correct exception.