A nurse is working in an urban clinic with a diverse population. ...

[jc611]

A nurse is working in an urban clinic with a diverse population. What action by the nurse is most important?
 
  A.
  Determine patients' definitions of health and desired outcomes of health care.
  B.
  Explain policies such as appointment cancellations to ensure compliance.
  C.
  Learn to speak one or two common languages of the patients in the clinic.
  D.
  Read about different folk remedies common among the populations seen.

Question 2

A nurse manager wants to make the pediatric clinic a more family-centered health-care setting. Which of the following actions by the nursing staff would best meet this goal?
 
  A.
  Encourage family members to be present in the exam room and to ask questions.
  B.
  Incorporate the use of a community health map for all new patients in the clinic.
  C.
  Recognize family members as experts on their child and incorporate them in decision making.
  D.
  Use evidence-based practice to develop policies and procedures used in the clinic.

[blfontai]

Answer to Question 1

ANS: A
Divergent populations enter the health-care system with differing beliefs about health care and wellness and differing expectations for the outcomes of such experiences. Understanding these expectations will help the nurse plan care that has a better chance of meeting these expectations. Learning languages and becoming familiar with folk remedies is helpful as well, but these two solutions are very limited in scope and a nurse cannot hope to become proficient in all the languages/behaviors of every population seen, leaving some patients with a lessened experience. Explaining policies is important too, but simply telling someone the rules does not take his or her cultural norms into account and may not be successful.

Answer to Question 2

ANS: C
The role of the family-centered nurse is to facilitate and assist the family in making informed choices that lead to the outcome the patient and family desire. This requires the nurse to give up the paternalistic role of authority on health care. The family knows the child best and should be assumed to make decisions that are in the best interests of both child and family. The other options are all good interventions, but are too limited in scope to be the best way to create a family-centered environment.

[jc611]

Excellent

[fatboyy09]

TYSM