A:

1. A nurse is working in a community health center that

serves a large number of immigrants and refugees from

different cultural backgrounds. The nurse wants to provide

culturally competent care to the clients and coordinate their

care with other health care providers. Which of the

following actions should the nurse take to achieve this

goal?

A) Assume that the clients have similar health beliefs and

practices as the nurse and educate them accordingly.

B) Use an interpreter only when the clients do not speak

English and avoid using family members as interpreters.

C) Assess the clients' cultural values, beliefs, and practices

and incorporate them into the care plan as much as

possible.*

D) Refer the clients to other health care providers who

share their cultural background and speak their language.

Rationale: The correct answer is C. To provide culturally

competent care, the nurse should assess the clients' cultural

values, beliefs, and practices and incorporate them into the

care plan as much as possible. This shows respect for the

clients' preferences and enhances their trust and satisfaction

with the care. The other options are not appropriate because

they do not acknowledge or respect the clients' cultural

diversity and may lead to miscommunication,

misunderstanding, or discrimination.

2. A nurse is coordinating the care of a patient who has