Author Question: When preparing to teach a culturally diverse group of childbearing families about hospital birthing ... (Read 66 times)

geodog55 · **on:** Jun 28, 2018

When preparing to teach a culturally diverse group of childbearing families about hospital birthing options, in order to be culturally competent, the nurse should:

1. Understand that the families have the same values as the nurse.
2. Teach the families how childbearing takes place in the United States.
3. Insist that the clients answer questions instead of their husbands.
4. Learn about the cultural groups that are likely to attend the class.

Question 2

The nurse manager in a hospital with a large immigrant population is planning an in-service. The nurse manager is aware of how ethnocentrism affects nursing care. Which statement should the nurse manager include?

The belief that one's own values and beliefs are the only or the best values:
1. Means that newcomers to the United States should adopt U.S. norms and values.
2. Can create barriers to communication through misunderstanding.
3. Leads to an expectation that patients will exhibit pain the same way.
4. Improves the quality of care provided to culturally diverse patient bases.

zhanghao · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Assuming that the families have the same values is ethnocentrism.
Rationale 2: Although it is important to explain health care during pregnancy and childbearing, this is not the top priority.
Rationale 3: The husband's answering questions might be a cultural norm, and insisting that the patient answer could decrease the family's trust in the healthcare system.
Rationale 4: Cultural competence is the development of skills and knowledge necessary to appreciate, understand, and work with individuals from other cultures than the culture of the nurse. Through gaining knowledge of the cultures that are likely to be encountered professionally, the nurse is able to understand the aspects of the patient's culture that might impact how care should best be given to be accepted by the patient.

Answer to Question 2

Correct Answer: 2
Rationale 1: Although acculturation involves adoption of some of the majority culture's practices and beliefs, each cultural group will continue to hold and express its own set of values and beliefs.
Rationale 2: Ethnocentrism is the conviction that one's own values and beliefs either are the only ones that exist or are the best. When the nurse assumes that a patient has the same values and beliefs as the nurse, misunderstanding will frequently occur, which in turn can negatively impact nursepatient communication.
Rationale 3: Expression of pain is one area that varies greatly from one culture to another.
Rationale 4: The belief that one's own values and beliefs are the best will not improve the quality of care provided to culturally diverse patient bases.