Which concept does the nurse identify as an organizational barrier to culturally competent health care in a community?

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Question 1 of 5

Which concept does the nurse identify as an organizational barrier to culturally competent health care in a community?

Correct Answer: B

Rationale: Organizational barriers hinder systemic competence. A lack of medical interpreters , per National CLAS Standards, impedes communication with LEP clients, a key cultural barrier. Provider shortages , insurance , and affordability are access issues, not competence-specific. Interpreters ensure understanding, making this the correct concept.

Question 2 of 5

Which action by a health care organization demonstrates the development of a culturally and linguistically competent plan to meet the needs of diverse populations of the community?

Correct Answer: B

Rationale: Competent plans engage communities. Collaborating with leaders , per CLAS Standards, tailors services to local diversity (e.g., immigrant needs). Informing assumes needs. Copying others or static plans lack specificity. This ensures relevance, making it the correct action.

Question 3 of 5

What action by a nurse demonstrates cultural humility in client-centered care?

Correct Answer: C

Rationale: Cultural humility adapts to clients. Aligning care with preferences , per humility principles, respects values (e.g., traditional healing), enhancing trust. Terminology alienates. Universal assumptions or disregarding input dismiss culture. This centers the client, making it the correct action.

Question 4 of 5

Which action can a nurse take to cultivate mindful awareness in interactions with clients?

Correct Answer: A

Rationale: Mindful awareness enhances client interactions. Practicing active listening and understanding perspectives , per mindfulness principles in nursing, fosters presence and empathy (e.g., hearing a client's cultural pain beliefs without preconceptions). Quick judgments rely on bias, undermining care. Avoiding reflection detaches nurses from growth. A fixed mindset blocks learning. Active listening aligns with cultural humility, building trust and improving outcomes, making this the correct action for nurses to cultivate awareness.

Question 5 of 5

Following a sentinel event, your healthcare organization convenes a group to perform a root cause analysis (RCA). Which of the following components of the meeting is most important for a successful RCA?

Correct Answer: C

Rationale: RCA success hinges on open dialogue. A safe environment , per the test, encourages participants to share freely, per Joint Commission guidelines, identifying root causes (e.g., system flaws) without fear. Leadership supports but isn't core. Confidentiality is key but secondary to safety. Physician convenience aids attendance, not depth. Safety fosters a no-blame culture, critical for uncovering truths like staffing issues, making this the correct component.

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