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

Correct Answer: A

Rationale: The correct answer is A: Developing a policy for use of trained interpreters. This action demonstrates leadership commitment to cultural competence by ensuring effective communication with diverse populations, promoting understanding of different languages and cultures, and respecting individuals' linguistic needs. The other choices, enhancing client satisfaction, improving health care outcomes, and increasing health care access to all individuals, are important goals but do not directly address the core principle of cultural competence through language accessibility and understanding.

Correct Answer: C

Rationale: The nurse is most likely to measure client satisfaction scores to evaluate the effectiveness of a cultural competence training program. This is because cultural competence aims to provide care that respects and values the cultural beliefs and practices of clients, leading to improved satisfaction. Increasing client acuity levels (A) is not directly related to cultural competence training. Reduction in health care costs (B) may not directly reflect the impact of cultural competence. Decrease in client wait times (D) is important but may not specifically measure the impact of cultural competence on client experiences.

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 the purpose of using the Social Identity Wheel is to assess how the nurse's own identity influences the care they provide to clients with diverse backgrounds. By understanding their own biases and cultural background, the nurse can better navigate interactions with clients and ensure culturally competent care. Choice A is incorrect because the tool focuses on the nurse's identity, not the client's. Choice B is incorrect as it oversimplifies the purpose by suggesting ignoring biases rather than addressing and understanding them. Choice D is incorrect as the tool is not used to confirm cultural sensitivity but rather to evaluate the nurse's own biases and identity.

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.