Which action should the nurse take when teaching a client with a low health literacy level?

Correct Answer: D

Rationale: The correct answer is D: Choose terms that the client uses. This is important when teaching a client with low health literacy because using language the client understands improves comprehension and adherence to instructions. Step 1: Assess the client's language and health literacy level. Step 2: Use simple language and avoid medical jargon. Step 3: Ask the client to explain back the information in their own words to ensure understanding. Step 4: Encourage questions to clarify any confusion. This approach promotes effective communication and empowers the client in their own healthcare. Choices A, B, and C are incorrect. A: Using correct medical terminology may confuse the client with low health literacy. B: Speaking loudly is not necessary and may intimidate the client. C: Leaving the option blank does not address the need to adapt communication to the client's level.

Correct Answer: A

Rationale: The correct answer is A: To identify areas for self-improvement. The self-assessment checklist is intended to help the nurse reflect on their cultural and linguistic competency skills. By reviewing the results, the nurse can identify areas where they may need to improve their knowledge or skills. This allows the nurse to develop a plan for self-improvement and continue providing quality care to diverse populations. B: To determine readiness for job advancement - This choice is incorrect because the self-assessment checklist is not designed to evaluate readiness for job advancement. C: To rate job performance - This choice is incorrect because the checklist is focused on cultural and linguistic competency, not overall job performance. D: To discipline an employee - This choice is incorrect as the checklist is meant for self-assessment and improvement, not disciplinary action.

Correct Answer: C

Rationale: The correct answer is C: Displaying brochures and posters that represent diversity. This action promotes a welcoming environment by visually demonstrating inclusivity and respect for different cultures. It shows that the healthcare setting values diversity and acknowledges the presence of clients from various backgrounds. This approach helps clients feel more comfortable, understood, and valued. A: Calling the client by the name on their birth certificate could be seen as impersonal and may not be culturally sensitive. B: Using a family member to interpret for a client with LEP can lead to misinterpretation and breaches confidentiality. D: Providing a client's bill of rights in languages other than English is important, but it is not as effective in directly creating a welcoming environment for culturally diverse clients as displaying visual representations of diversity.

Correct Answer: B

Rationale: The correct answer is B, collaborating with community leaders, because it involves actively engaging with key stakeholders who have a deep understanding of the cultural and linguistic needs of diverse populations. Community leaders can provide valuable insights and guidance on tailoring healthcare services effectively. Choice A is incorrect as simply informing the community is passive and may not address their specific needs. Choice C is incorrect as strategies that have worked elsewhere may not be suitable for the specific community in question. Choice D is incorrect as healthcare organizations need to be adaptable and responsive to evolving needs rather than sticking to rigid, unchanging strategies.

Correct Answer: A

Rationale: The correct answer is A because developing an organizational mission statement for cultural competence sets a clear and overarching goal for the entire organization to strive towards. This statement will guide all activities and decisions related to cultural and linguistic competency. Choice B is incorrect because it focuses on individual departments developing their own plans, which may lack consistency and alignment with the overall organizational goal. Choice C is also incorrect as it places the responsibility solely on employees to develop their cultural competence, rather than having a coordinated effort at the organizational level. Choice D is incorrect as hiring individuals based solely on work experience does not guarantee cultural or linguistic competence within the organization.