During a conference after rounds, a nurse states, They are in the ...

[TVarnum]

During a conference after rounds, a nurse states, They are in the United States now; you would think that they would act like us. This nurse is exhibiting:
 
  A) Cultural humility
  B) Ethnocentrism
  C) Cultural competence
  D) Cross-cultural nursing

Question 2

The nurse is caring for a client who is a refugee from Haiti. The client's family has been displaced because of an earthquake in their country. The client has healing fractures on his right arm as well as fractured ribs.
 
  He tells the nurse that, before care begins, the nurse must consult with his Voodoo healer. Which is the nurse's best response
  A) Teaching the client that he is in the United States and should abide by Western medical practices
  B) Informing the physician that the client is noncompliant
  C) Consulting with the healer and updating the physician regarding treatment and any herbal medications that may be used
  D) Encouraging the client to use a complementary approach to his care

[Pswine]

Answer to Question 1

Ans: B
Feedback:
Ethnocentrism refers to the tendency of people to view their way of doing things and their culture as superior to the cultures and ways of others. Cultural humility requires community health nurses to continually self-evaluate and critique their own cultural assumptions and advocate for their clients in a nonpaternalistic way. In nursing, cultural competence means considering cultural aspects of health, illness, and treatment for each client or community, as well as doing so at each stage of the nursing process. Cross-cultural nursing is any nursing work in which the nurse and client have different cultures.

Answer to Question 2

Ans: C
Feedback:
Some practices of healthcare institutions and clinicians have historically been discriminatory and hurtful to minority groups. Cultural safety refers to providing culturally appropriate health services to disadvantaged groups while stressing dignity and avoiding institutional racism, assimilation, and repressive practices. For the community health nurse, this means ongoing learning about the health beliefs and practices of clients and never dismissing or disrespecting folk traditions. In this case, it would be wise for the nurse to consult the healer, not only out of respect for the client's beliefs, but also to learn what herbal medications the client may be receiving, to prevent any adverse reactions with drugs the physician might prescribe.

[TVarnum]

Gracias!

[gcook]

TYSM