WELL DETAILED ANSWERS|LATEST
UPDATE!!!2025/2026|GUARANTEED PASS|GRADED
A female client, from a male-dominated culture, is being discharged after a lengthy
hospitalization. Which action by the nurse prior to providing discharge instructions is
appropriate?
a. Ask the client when the best time for teaching would be.
b. Make sure instructions are understood by the client.
c. Assess who the decision maker is in the family.
d. Make sure that the healthcare provider gives the instructions. - ANSWER c. Assess
who the decision maker is in the family.
rationale: The nurse needs to identify who has the "authority" to make decisions in a client's
family. If the decision maker is someone other than the client, the nurse needs to include
that individual in healthcare discussions. Regardless of who is present during the teaching, it
is always necessary to make sure that the instructions are understood, but it is difficult to do
that before instructions are given. Asking the client when the best time for teaching would
be does not address the need for the decision maker of the family to be present.
Nursing Process: Implementation
Learning Outcome: 1. Describe how belief systems impact the provision of health care.
QSEN Competencies: I.B.1 Provide patient-centered care with sensitivity and respect for the
diversity of human experience
AACN Essential Competencies: IX.3 Implement holistic, patient-centered care that reflects an
understanding of human growth and development, pathophysiology, pharmacology, medical
management and nursing management across the health-illness continuum, across lifespan,
and in all healthcare settings
1
, NLN Competencies: Relationship Centered Care: Demonstrate self-awareness, self-care, self-
growth; be open and non-judgmental
MNL Learning Outcome: 25.1.1 Describe the elements of culture and diversity.
A novice nurse is working in a busy emergency department of a hospital, situated in a
culturally diverse area of the city. Which should the nurse do when providing culturally
competent care?
a. Possess the underlying background knowledge that will provide these clients with the best
possible health care.
b. Try to learn about the attitudes toward health care and traditions of the different cultures
in that area.
c. Strive to be culturally sensitive, culturally appropriate, and culturally competent.
d. Understand and attend to the total context of the client's situation, using knowledge,
attitudes, and skills. - ANSWER a. Possess the underlying background knowledge that
will provide these clients with the best possible health care.
Rationale: Cultural appropriateness is to understand and attend to the total context of the
client's situation, using knowledge, attitudes, and skills. Cultural sensitivity implies
possessing basic knowledge of the cultural groups the nurse will likely encounter and
developing constructive attitudes about their health traditions. Cultural competence is
possessing the underlying background knowledge that will provide clients with the best
possible health care. The definition of professional nursing care is to strive for cultural
sensitivity, cultural appropriateness, and cultural competence.
Nursing Process: Implementation
Learning Outcome: 7. Examine personal beliefs, prejudgment, and areas for professional
development related to cultural differences and vulnerable populations.
QSEN Competencies: I.B.1 Provide patient-centered care with sensitivity and respect for the
diversity of human experience
AACN Essential Competencies: VII.3 Assess health/illness beliefs, values, attitudes, and
practices of individuals, families, groups, communities and populations
2
UPDATE!!!2025/2026|GUARANTEED PASS|GRADED
A female client, from a male-dominated culture, is being discharged after a lengthy
hospitalization. Which action by the nurse prior to providing discharge instructions is
appropriate?
a. Ask the client when the best time for teaching would be.
b. Make sure instructions are understood by the client.
c. Assess who the decision maker is in the family.
d. Make sure that the healthcare provider gives the instructions. - ANSWER c. Assess
who the decision maker is in the family.
rationale: The nurse needs to identify who has the "authority" to make decisions in a client's
family. If the decision maker is someone other than the client, the nurse needs to include
that individual in healthcare discussions. Regardless of who is present during the teaching, it
is always necessary to make sure that the instructions are understood, but it is difficult to do
that before instructions are given. Asking the client when the best time for teaching would
be does not address the need for the decision maker of the family to be present.
Nursing Process: Implementation
Learning Outcome: 1. Describe how belief systems impact the provision of health care.
QSEN Competencies: I.B.1 Provide patient-centered care with sensitivity and respect for the
diversity of human experience
AACN Essential Competencies: IX.3 Implement holistic, patient-centered care that reflects an
understanding of human growth and development, pathophysiology, pharmacology, medical
management and nursing management across the health-illness continuum, across lifespan,
and in all healthcare settings
1
, NLN Competencies: Relationship Centered Care: Demonstrate self-awareness, self-care, self-
growth; be open and non-judgmental
MNL Learning Outcome: 25.1.1 Describe the elements of culture and diversity.
A novice nurse is working in a busy emergency department of a hospital, situated in a
culturally diverse area of the city. Which should the nurse do when providing culturally
competent care?
a. Possess the underlying background knowledge that will provide these clients with the best
possible health care.
b. Try to learn about the attitudes toward health care and traditions of the different cultures
in that area.
c. Strive to be culturally sensitive, culturally appropriate, and culturally competent.
d. Understand and attend to the total context of the client's situation, using knowledge,
attitudes, and skills. - ANSWER a. Possess the underlying background knowledge that
will provide these clients with the best possible health care.
Rationale: Cultural appropriateness is to understand and attend to the total context of the
client's situation, using knowledge, attitudes, and skills. Cultural sensitivity implies
possessing basic knowledge of the cultural groups the nurse will likely encounter and
developing constructive attitudes about their health traditions. Cultural competence is
possessing the underlying background knowledge that will provide clients with the best
possible health care. The definition of professional nursing care is to strive for cultural
sensitivity, cultural appropriateness, and cultural competence.
Nursing Process: Implementation
Learning Outcome: 7. Examine personal beliefs, prejudgment, and areas for professional
development related to cultural differences and vulnerable populations.
QSEN Competencies: I.B.1 Provide patient-centered care with sensitivity and respect for the
diversity of human experience
AACN Essential Competencies: VII.3 Assess health/illness beliefs, values, attitudes, and
practices of individuals, families, groups, communities and populations
2
