A nurse speaks at a staff development in-service. Which of the ...

[Coya19@aol.com]

A nurse speaks at a staff development in-service. Which of the following statements by a nurse participant shows the need for education?
 
  A) I know that the consequences of racism are still present and they're linked to health disparities.
  B) I'm sure the percentage of client-care hours that we spend working with minority clients is bound to increase.
  C) There's a huge amount of diversity within the group that's labeled 'Asians and Pacific Islanders.'
  D) It's inaccurate to link the prevalence of particular diseases with particular minority groups.

Question 2

A nurse has recently begun to provide care to older adults in a large, urban hospital. Having lived until recently in an ethnically homogeneous region,
 
  the nurse has begun to recognize the significant differences in priorities and perspectives of clients from other cultural groups and has taken action to learn about these groups. What stage of cultural self-assessment is this nurse demonstrating?
 
  A) Unconsciously incompetent
  B) Consciously incompetent
  C) Consciously competent
  D) Unconsciously competent

[upturnedfurball]

Answer to Question 1

Ans: D
The prevalence of some pathologies varies between different ethnic groups. The effects of racism are indeed linked to health disparities, and nurses are predicted to spend a higher percentage of client-care hours with members of minority groups in the future. As with most groups, there is vast diversity within the group Asians and Pacific Islanders.

Answer to Question 2

Ans: B
Cultural competence begins with unconscious incompetence as a state of not being aware that one is lacking knowledge about another culture. When the person becomes aware of this knowledge gap, he or she progresses to a state of conscious incompetence and takes actions to learn about the cultural group; this stage is demonstrated by the nurse in this question. A person progresses to a stage of conscious competence by verifying generalizations and incorporating culture-specific interventions in care. The final stage is unconscious competence, when knowledge of the cultural group is fully integrated into one's thinking and approach.

[Coya19@aol.com]

Correct answers!

[upturnedfurball]

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