Which action should the nurse perform when teaching a client with LEP and who is from a culture different than their own?

Correct Answer: C

Rationale: The correct answer is C: Perform a health literacy assessment. When teaching a client with Limited English Proficiency (LEP) from a different culture, it is crucial to assess their health literacy level to ensure effective communication. This assessment helps determine the client's understanding of health information and their ability to navigate the healthcare system. By understanding their health literacy level, the nurse can tailor the teaching strategies appropriately to meet the client's needs. Summary: A: Using accurate medical terms may confuse the client with LEP from a different culture. B: Assuming the client has basic math skills is not relevant to effective communication in healthcare education. D: Researching practices of the client's culture online is important for cultural competence but not directly related to assessing health literacy for effective teaching.

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: 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.