Which belief best fosters provision of culturally competent ...

[naturalchemist]

Which belief best fosters provision of culturally competent nursing care? (Select all that apply.)
 
  a. Eye contact promotes nonverbal communication.
  b. Nurses should foster assimilation and conformity to the dominant culture.
  c. Reading about practices of various cultures will ensure cultural competence.
  d. The ability to work within a patient's cultural context requires ongoing effort.
  e. Self-examination of attitudes toward various cultures promotes competent care.

Question 2

A client who usually is very active in her therapy group tells the nurse that she really does not feel well today and would rather not attend the group therapy session. Which is the nurse's most appropriate response?
 
  a. You don't feel like attending the group therapy today?
  b. I will just stay with you for a while.
  c. It's okay to skip a session every once in a while.
  d. Why don't you want to attend group therapy?

[JCABRERA33]

Answer to Question 1

D, E
Cultural competence requires health care providers to see themselves as becoming culturally competent rather than already being culturally competent. This view necessitates that the provider continuously strive to work effectively within the cultural context of the patient. The meaning of eye contact varies from one culture to another. The patient may not desire assimilation and conformity. Reading can be helpful but does not provide all knowledge. Self-examination should move the nurse toward providing more competent, humanistic care.

Answer to Question 2

A
The nurse is restating what the client said, which verifies what the client communicated and lets the client know that the nurse listened and understood her. The client did not ask the nurse to sit with her, so this action is inappropriate. Telling the client that it is okay to skip a session is giving advice and is not conveying an understanding of what the client really said. Asking the client why she doesn't want to attend group therapy clearly conveys that the nurse did not listen to what the client communicated.