Author Question: A novice nurse is working in a busy emergency department of a hospital, situated in a culturally ... (Read 143 times)

lracut11 · **on:** Jun 25, 2018

A novice nurse is working in a busy emergency department of a hospital, situated in a culturally diverse area of the city. Which should the nurse do when providing culturally competent care?

A) Possess the underlying background knowledge that will provide these clients with the best possible health care.
B) Understand and attend to the total context of the client's situation, using knowledge, attitudes, and skills.
C) Strive to be culturally sensitive, culturally appropriate, and culturally competent.
D) Try to learn about the attitudes toward health care and traditions of the different cultures in that area.

Question 2

A psychiatric nurse is actively involved in the planning of a new children's mental health clinic. The nurse understands the importance of including a play area at this site because of the population it will serve.

Which is the reason for the use of play and toys to assess children with suspected mental health disorders?
A) Pediatric clients express themselves through play.
B) Only toys that are developmentally appropriate and specific to the child's biological age are used.
C) Pediatric clients do not usually relate to adults.
D) Play enables the nurse to assess the cognitive ability of the pediatric client.

nothere · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

Cultural appropriateness is to understand and attend to the total context of the client's situation, using knowledge, attitudes, and skills. Cultural sensitivity implies possessing basic knowledge of the cultural groups the nurse will likely encounter and developing constructive attitudes about their health traditions. Cultural competence is possessing the underlying background knowledge that will provide clients with the best possible health care. The definition of professional nursing care is to strive for cultural sensitivity, cultural appropriateness, and cultural competence.

Answer to Question 2

Answer: A

A mental status exam on a child consists of both a semi-structured interview and an unstructured play session with the child. Observing a child at play can also provide invaluable information about motor behavior, thought content, affect, and impulse control. There is a general belief that toys with ambiguous meaning and diverse uses foster symbolic play more effectively because they allow the child to project his or her own identity and function onto the toys. The children may or may not relate to adults, but that is not the reason for including the play area. Cognitive ability is only one of the areas of assessment, and not the overall reason for including the play area. Toys may or may not be specific to the child's biological age.