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Chapter 24: Designing Culturally and Linguistically Appropriate Programs

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Chapter 24: Designing Culturally and Linguistically Appropriate Programs

10 problems · 0 figures

24-1 §24.RQ source ↗

Which action should the nurse perform when teaching a client with LEP and who is from a culture different than their own?
  1. a.
    Use accurate medical terms
  2. b.
    Assume the client has basic math skills
  3. c.
    Perform a health literacy assessment
  4. d.
    Research practices of the client’s culture online

Answer

C. Perform a health literacy assessment
To assess health literacy in culturally diverse clients, the nurse should perform a health literacy assessment using a validated tool before developing a teaching plan.

24-2 §24.RQ source ↗

A community health nurse has taken the Promoting Cultural and Linguistic Competency Self-Assessment Checklist for Personnel Providing Primary Health Care Services and is reviewing the results. Which action describes how the results of this self-assessment checklist should be utilized?
  1. a.
    To identify areas for self-improvement
  2. b.
    To determine readiness for job advancement
  3. c.
    To rate job performance
  4. d.
    To discipline an employee

Answer

A. To identify areas for self-improvement
This self-assessment checklist is designed to enhance one’s awareness and sensitivity of cultural and linguistic diversity and to provide concrete examples of practices that foster an environment of cultural and linguistic competence, allowing the nurse to reflect and engage in self-improvement.

24-3 §24.RQ source ↗

Which action by a health care organization is an example of a leadership commitment to cultural competence?
  1. a.
    Developing a policy for use of trained interpreters
  2. b.
    Enhancing client satisfaction
  3. c.
    Improving health care outcomes
  4. d.
    Increasing health care access to all individuals

Answer

A. Developing a policy for use of trained interpreters
Leadership commitment refers to the active involvement and support of organizational leadership in promoting cultural competence. This includes developing and implementing policies and practices that prioritize cultural competence and diversity, such as developing policies for the use of trained interpreters.

24-4 §24.RQ source ↗

Which action by a nurse promotes a welcoming environment for culturally diverse clients?
  1. a.
    Calling the client by the name on their birth certificate
  2. b.
    Using a family member to interpret for a client with LEP
  3. c.
    Displaying brochures and posters that represent diversity
  4. d.
    Providing a client’s bill of rights in languages other than English

Answer

C. Displaying brochures and posters that represent diversity
Creating a welcoming environment is part of the Promoting Cultural and Linguistic Competency Self-Assessment Checklist. The nurse can help create a welcoming environment by displaying posters, brochures, and other materials that represent the diversity of the client population.

24-5 §24.RQ source ↗

Which action by a nurse working at a community health center is an example of using the ACCESS model of transcultural care?
  1. a.
    Utilizing a standardized plan of care
  2. b.
    Developing the plan of care with the client
  3. c.
    Using a plan of care developed for a specific cultural group
  4. d.
    Collaborating with other nurses to develop the plan of care

Answer

B. Developing the plan of care with the client
The ACCESS model consists of six key components: assessment, communication, cultural negotiation and compromise, establishing respect and rapport, sensitivity, and safety. In this model, the nurse tailors the plan of care so it is respectful of the client’s beliefs and values. This is accomplished by developing the plan of care with the client.

24-6 §24.RQ source ↗

Which action by a health care organization demonstrates the development of a culturally and linguistically competent plan to meet the needs of diverse populations of the community?
  1. a.
    Informing the community about their cultural needs
  2. b.
    Collaborating with community leaders
  3. c.
    Developing strategies that have worked at other health care organizations
  4. d.
    Developing consistent strategies that will not change over time

Answer

B. Collaborating with community leaders
Developing partnerships to support organizational cultural and linguistic competence is a dynamic and multifaceted process that involves collaborating with key community partners to determine their needs, goals, and resources.

24-7 §24.RQ source ↗

A nurse is evaluating the effectiveness of a cultural competence training program. Which outcome is the nurse most likely to measure?
  1. a.
    Increase in client acuity levels
  2. b.
    Reduction in health care costs
  3. c.
    Improvement in client satisfaction scores
  4. d.
    Decrease in client wait times

Answer

C. Improvement in client satisfaction scores
When evaluating the effectiveness of a cultural competence training program, a nurse is likely to measure for an improvement in client satisfaction scores because that is an indication if clients feel heard, understood, and respected.

24-8 §24.RQ source ↗

A nurse is a member of an interdisciplinary committee whose goal is to develop a culturally and linguistically competent organization. Which action by the committee would help to meet this goal?
  1. a.
    Develop an organizational mission statement for cultural competence
  2. b.
    Encourage each department to develop a cultural competency plan
  3. c.
    Encourage employees to find ways to develop their cultural competence
  4. d.
    Hire individuals with the most work experience

Answer

A. Develop an organizational mission statement for cultural competence
To show its strong commitment to cultural competence, the organization should have a mission statement that reflects its commitment to cultural and linguistic competence.

24-9 §24.RQ source ↗

Using the National CLAS as a guide, which service should be offered to clients who have LEP?
  1. a.
    Availability of interpreter services at a minimal fee
  2. b.
    Language assistance in the client’s preferred language
  3. c.
    Interpretation services using family members
  4. d.
    Trained interpretation within 48 hours of hospital admission

Answer

B. Language assistance in the client’s preferred language
According to National CLAS Standards, clients with LEP should be offered language assistance in their preferred language in a timely manner and at no cost to them.

24-10 §24.RQ source ↗

Which action by a community health center demonstrates its commitment to providing a welcoming environment for LGBTQIA+ individuals?
  1. a.
    Clearly marking restrooms for men and women
  2. b.
    Including options other than male/female on intake forms
  3. c.
    Using pronouns consistent with outward appearance
  4. d.
    Avoiding asking about sexual orientation

Answer

B. Including options other than male/female on intake forms
One way that health care facilities can be made more welcoming to LGBTQIA+ individuals to include nonbinary choices on all forms, allowing individuals to identify in their own way.

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Problems and answers are adapted from Population Health for Nurses by Jessica Ochs, Sherry L. Roper and Susan M. Schwartz, OpenStax, and are used under the CC BY-NC-SA 4.0 licence. Access for free at https://openstax.org/books/population-health/pages/1-introduction. Illustrations: Copyright Rice University, OpenStax, under CC BY-NC-SA 4.0 license. This adaptation is released under the same licence, is non-commercial, and is neither affiliated with nor endorsed by OpenStax or Rice University.