Which construct do nurses exhibit when they engage in self-reflection about their own cultural beliefs and biases?

Correct Answer: C

Rationale: The correct answer is C: Cultural awareness. Nurses demonstrate cultural awareness when they reflect on their own cultural beliefs and biases. This involves recognizing and understanding how their own background influences their interactions with patients. Option A, cultural skill, refers to the ability to conduct a cultural assessment. Option B, cultural desire, pertains to the motivation to understand and engage with diverse cultures. Option D, cultural knowledge, focuses on acquiring factual information about different cultures. However, cultural awareness is the foundational step that underpins the development of cultural competence in nursing practice.

Correct Answer: A

Rationale: The correct answer is A: Arrange for a medical interpreter. This is the best action as it ensures accurate communication and respects the client's right to understand their healthcare. Using a professional interpreter maintains confidentiality and avoids potential misunderstandings. Asking a family member (B) may result in biased or incomplete translations. Asking a clerical staff member (D) may breach confidentiality and lacks professionalism. Option C is blank, so it is not a valid choice.

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.