Author Question: A nurse is working with a patient who has limited English proficiency. What action by the nurse is ... (Read 29 times)

go.lag · **on:** Jul 23, 2018

A nurse is working with a patient who has limited English proficiency. What action by the nurse is best?

a. Use a qualified interpreter.
b. Ask family members to translate.
c. Use drawings and pictures.
d. Speak in simple sentences.

Question 2

A new graduate nurse tells the manager that she does not believe she needs more in-service training on culturally congruent care because she already recognizes that there are significant differences among cultures to take into account when providing care.

What response by the manager is best?
a.
You have done a great job becoming culturally competent.
b.
Providing culturally congruent care takes ongoing work and effort.
c.
That is a great start, but be sure to sign up for the in-service.
d.
Cultural sensitivity and cultural competence are not the same.

leannegxo · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A
National Culturally and Linguistically Appropriate Standards (CLAS) from the U.S. Department of Health and Human Services identify methods for providing culturally competent care and guidelines for their implementation. This includes using qualified interpreters when working with non- or limited-English speaking persons. Using a family member to interpret can upset the balance of power within the family, cause embarrassment, and lead to inaccuracies. Using drawings and pictures or speaking in simple sentences is not as effective as using an interpreter.

Answer to Question 2

ANS: B
Cultural sensitivity is the recognition that there are profound differences among cultures that can affect health care. But in order to provide culturally congruent care, the nurse must do more than just recognize these differences. This is an on-going process. Option B is the only one that provides useful information to the nurse as to why she must continue to work on this aspect of her profession.