Author Question: The American Association of Colleges of Nursing (AACN) identified certain competencies essential for ... (Read 78 times)

JGIBBSON · **on:** Jul 8, 2018

The American Association of Colleges of Nursing (AACN) identified certain competencies essential for graduates of baccalaureate nursing programs to provide culturally competent care.

Which statements reflect these competencies? (Select all that apply.)
1. Participate in continuous cultural competence development
2. Use relevant data sources and best evidence to provide culturally competent care
3. Reinforce health disparities among populations
4. Promote achievement of safe and quality outcomes of care for diverse populations
5. Defer use of best practice evidence to the case management teams

Question 2

What should the nurse include when performing a cultural assessment? (Select all that apply.)

1. Is there anyone you wish to include in the decision making concerning your care?
2. Do you have steps in your home?
3. What do you believe the cause of your illness to be?
4. Are you using any cultural remedies?
5. Where do you work?

JaynaD87 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Correct Answer: 1, 2, 4

The AACN (2008) identified five competencies considered essential for graduates of BSN programs to provide culturally competent care. They are (1) participate in continuous cultural competence development, (2) use relevant data sources and best evidence to provide culturally competent care, (3) promote achievement of safe and quality outcomes of care for diverse populations, (4) apply knowledge of social and cultural factors that affect nursing and health care across multiple contexts, and (5) advocate for social justice, including commitment to the health of vulnerable populations and the elimination of health disparities. Nurses need to understand how cultural groups understand life processes so the nurse can develop an appropriate and individualized care plan to best support the client.

Answer to Question 2

Correct Answer: 1, 3, 4

Cultural assessments are the cornerstone for providing culturally competent care. To obtain cultural assessment data, nurses use broad statements and open-ended questions that encourage clients to express themselves fully. Some of the questions to ask are, Who is the decision maker for treatment and care? What does the patient believe the cause of the illness to be? What cultural remedies is the patient taking? These questions will provide cultural insights to allow the nurse to provide an assessment and care plan tailored to the client. There are a number of other questions that will continue to build on the nurse's understanding of the client's culture. Questions concerning the home environment are utilized to ascertain home care needs once the patient returns home. Employment information is usually obtain in a health history to determine exposures to chemical or environmental hazards but is not part of a cultural assessment.