Cultural
Competence
Competence
This would be the best action taken by a nurse to communicate with a female Korean patient who cannot speak English and is accompanied by young male relative.
What is obtain a female interpreter?
Clinical practice guidelines give us standardized nursing interventions to perform on our patients to improve their health. They based on a systematic review of outcomes called THIS.....
What is evidence or evidenced based practice?
In October 2025 the BVNPT made changes in these California laws that guide what LVN's can do. LVN's can no longer perform some respiratory related interventions such as endotracheal suctioning, ventilator management, and oxygen titration.
What is scope of practice?
What is patient abandonment?
The ability of the cardiovascular system to pump oxygenated blood to the tissues and return deoxygenated blood to the lungs.
What is perfusion?
This highly contagious infectious disease is from use of antibiotics, requires soap and water hand washing with CONTACT ISOLATION aka gown and gloves.
What is c-diff or clostridium difficile?
Look at the patient when talking, speak slowly and directly, utilize facility provided translation services, and provide handouts in pt's primary language.
What are things to do with a non-English speaking patient.
Examples of these types of interventions may include: giving a suppository, obtaining an order for medication, working with physical therapy, or consulting with a wound care specialist.
What are dependent nursing interventions?
Laws that are created by administrative bodies like the Board of Registered Nursing.
What are Regulatory laws?
This concept in culturally competent care is demonstrated by providing a handout in plain language with illustrations so your patient can understand what you are teaching them.
What is health literacy?
This is a high priority problem for a postoperative patient with a surgical incision.
What is RISK FOR INFECTION?
This order means your patient may no longer eat or drink AT ALL and you must take away their water pitcher, provide regular oral care, and track I/O's as usual.
What is NPO?
This type of community group includes immigrants and those below the poverty level. They have the most health disparities, an increased incidence of disease, and trouble accessing care.
What is a low socio-economic community group?
Examples of these types of nursing interventions may include: teaching relaxation techniques, repositioning every 2 hours, TC&B, ambulation, or elevating an extremity.
What are independent nursing interventions?
These legal guidelines from the BVNPT or BRN tell you what care you may give and will help you decide how to delegate tasks. For example: The RN may ASSSESS, develop care plans, and pioneer research projects. An LVN can collect data, give meds, and provide nursing care. UAP do basic delegated tasks such as reposition, take vitals, help pts to the bathroom, and record I/O's.
What is scope of practice?
Shortness of breath, especially when flat, crackles in the lungs, pitting edema, and a negative fluid balance are all findings of this common disease.
What CHF or congestive heart failure?
You find your post op patient that you medicated for pain has slow, shallow breaths. You recognize that your patient is opioid-naive. This would be your FIRST intervention, and it would be something a UAP could do as well.
What is raise the HOB?
Signs/symptoms of this common problem for incontinent elderly patients may include dysuria, confusion, and cloudy, amber, odorous urine.
What is a UTI or urinary tract infection?
Assessing your own biases and attitudes, learning about the patient’s health care belief system and values, and enabling patients to achieve meaningful and supportive care demonstrates what concept?
What is Culturally Competent care?
While not the same as hands on nursing care such as giving pain medication or changing a dressing, this type of care often focuses on tasks like communicating with all members of the care team, organizing care, discharge planning, documentation, or charting.
What is indirect care?
When a nurse signs a consent form as a witnesses it means only these 3 things: the patient appears competent, their signature is authentic, and it was given voluntarily.
What is informed consent?
When a nurse is verbally abusing another nurse at the nurse's station resulting in consequences and costs to the individual, the organization, and the profession.
What is lateral violence?
An nurse assessing a wound hopes to see signs of healing with nice pink granulation tissue. Instead she sees s/sx of a local infection including peri-wound edema, erythema, and thick white/yellow/green drainage that would be described as this:
What is purulent drainage?
You and your faithful UAP are changing and repositioning someone with a PEG tube and continuous tube feeding. You are there to stop the tube feeding and remind your UAP to position the patient with HOB at 30 degrees. Your patient is at high risk for what complication?
What is aspiration?
A better alternative to a yes/no question, this type of questioning elicits a more detailed and descriptive response from a patient. Examples include "Tell me more about...." or "How do you feel when..." or "What happened when..."
What is an open ended question?
These are the PRIORITY AREAS to assess the skin for pressure ulcers. If we see blanching redness we know we need to intervene before a stage I ulcer develops.
What are pressure points or bony prominences?
A patient is refusing his injectable medication even after being educated about it. He's alert, oriented, and capable of making their own decisions. You decide to give it anyways and have just committed this crime.
What is battery?
Raising eyebrows, rolling eyes, and making faces can be a form of lateral violence. Standing over a patient with your arms crossed can be considered aggressive.
What is non-verbal communication or a non-verbal cue?
This hospital charting system improves the accessibility of medical records by multiple people, faster reporting of diagnostic study results, easier readability of documentation, and reduced errors. You must remember to log off the computer prior to walking away to maintain HIPAA.
What is an EHR?
Your patient has the unexpected finding of black tarry stools so you also assess your patient for other signs of bleeding, save the specimen to send a fecal occult blood test order, and recognize this may be an adverse effect of THIS CLASS OF MEDICATION and needs to be reported to the provider.
What is an anticoagulant? ex: lovenox, plavix, ASA, eliquis, warfarin