Which statement demonstrates an understanding of cultural competence in nursing?

Correct Answer: B

Rationale: The correct answer is B because understanding a patient's cultural background helps in developing individualized care plans that respect their beliefs and values. This promotes effective communication, builds trust, and improves health outcomes. Choice A is incorrect as cultural competence involves recognizing and respecting differences. Choice C is incorrect as cultural competence applies to all patients, not just those from different countries. Choice D is incorrect as discussing culture can enhance understanding and improve patient-provider relationships.

Correct Answer: B

Rationale: The correct answer is B: Sexual dysfunction. SSRIs can cause sexual side effects such as decreased libido, delayed ejaculation, and erectile dysfunction due to their impact on serotonin levels. Weight loss (A) is less common as SSRIs are more likely to cause weight gain. Increased appetite (C) is also less likely, as SSRIs can sometimes lead to decreased appetite. Hypertension (D) is not a common side effect of SSRIs.

Correct Answer: C

Rationale: The correct answer is C: Providing support with mobility and communication as needed. This is the most appropriate intervention to promote the patient's rehabilitation after a stroke. Supporting the patient with mobility exercises and communication helps improve physical and cognitive function, which are crucial aspects of stroke recovery. By assisting with mobility, the nurse can help prevent complications such as muscle weakness or contractures. Communication support can aid in language recovery and overall cognitive function. Incorrect choices: A: Encouraging independence in activities of daily living may be important, but focusing solely on this aspect may not address the specific needs of stroke recovery. B: While a high-protein diet can be beneficial for recovery, it is not the most crucial intervention for promoting rehabilitation after a stroke. D: Focusing on past abilities alone may not address the current limitations and needs of the patient post-stroke.

Correct Answer: C

Rationale: The correct answer is C because encouraging the patient to engage in small activities and gradually increase participation aligns with the principles of cognitive-behavioral therapy (CBT) for depression. This intervention helps the patient combat feelings of hopelessness and low energy by promoting a sense of accomplishment and increasing activity levels. It also addresses poor concentration by breaking tasks into manageable steps. Choice A is incorrect because administering a sedative medication does not address the underlying issues of depression and may mask symptoms temporarily without providing long-term benefits. Choice B is incorrect because while providing reassurance is important, it alone may not be sufficient to address the patient's symptoms. Choice D is incorrect because promoting rest and limiting stimulation may exacerbate feelings of isolation and further contribute to the patient's low energy and hopelessness.

Correct Answer: A

Rationale: The correct answer is A because CBT focuses on changing negative thinking patterns and improving coping skills, making it an appropriate therapy for patients with depression. CBT is effective for a wide range of depression severity levels. Choices B, C, and D are incorrect because CBT is not limited to patients with mild depression, does not require medication to be effective, and can be beneficial for patients with severe depression when used in conjunction with other treatments.