Which action by a nurse working at a community health center is an example of using the ACCESS model of transcultural care?

Correct Answer: B

Rationale: The correct answer is B because developing the plan of care with the client aligns with the ACCESS model, which emphasizes partnership and collaboration with the client. This approach ensures cultural considerations are taken into account and respects the client's values and beliefs. A: Utilizing a standardized plan of care may not consider individual cultural needs. C: Using a plan developed for a specific cultural group may not address the unique needs of the individual client. D: Collaborating with other nurses is important but does not specifically address the client's involvement in care planning.

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.

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.