Which action should the nurse take when a client of a different culture than the nurse stares out the window while the nurse is providing preoperative instruction?

Correct Answer: D

Rationale: The correct answer is D because the nurse should respect the client's cultural norms and preferences. By stopping the instruction and returning later, the nurse acknowledges the client's need for space and time to process information. This approach shows cultural sensitivity and allows for effective communication. Choice A is incorrect as mimicking the client's behavior may not be respectful or appropriate. Choice B is incorrect as it may invade the client's personal space and could be perceived as confrontational. Choice C is incorrect as focusing on eye contact ignores the broader cultural context and individual preferences of the client.

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: 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: 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.