Answer to Question 1
A
The parole evidence rule provides that if oral agreements are made in addition to written agreements, the court will not allow these to take precedence over the written agreement. Nurses should never rely on verbal agreements; they should get all employment contracts or changes to contracts in writing.
This may be a true statement at that facility, but this answer is not specific enough to explain the rationale.
Unit management may or may not have authority to make modifications to work agreements, but this answer is not specific enough to explain the situation.
Suggesting that the nurse get a lawyer does not provide any type of explanation of the situation.
Answer to Question 2
B
The U.S. Health Resources Service Administration's critical domains of cultural competence include both individual and organizational factors. The nurses have taken the first step by being open and motivated. Now the organization needs to address domains pertaining to the organization itself so that the motivated nurses have the training and resources they need to provide culturally sensitive care.
Training and development is one of the nine critical domains of cultural competence, but lack of training is an organizational barrier. If there is one organizational barrier, there are probably more, which means this choice is too narrow in focus to be the best answer.
Better communication will always help when working with culturally diverse groups, but focusing solely on communication is not broad enough to consider the many factors that are hindering culturally competent care.
Nurses will never be experts on all cultures with whom they interact. Having personal and organizational resources that encourage culturally sensitive care provides the framework for working with any diverse culture.