In the article “Cultural Diversity Best Practices”, Killian and Waite stated that “Another reason for increasing cultural proficiency is the growing number of healthcare providers and workers from other countries who have become colleagues within the healthcare delivery system.” and keep in mind that you are applying it to medical caregiver. What is implied in this statement?

Religion plays an important role in a patient's life. Each of the options below could be described as its favourable benefits, except:

Religion is a way for your patients to gain independence and separate themselves from their family.

Religion is not a means to separate your patients from their families. In fact, it is able to be a means of bringing families closer together.

A Japanese male who is your patient in charge has just undergone his bilateral knee surgery. You try and assist him in putting his anti-embolism stockings on and he winces and looks away, staring up at the ceiling. Your most appropriate response would be:

You could acknowledge that putting on the anti-embolism stockings can be a painful procedure and ask him if he is currently experiencing any pain.

People of Asian descent, can sometimes be unemotional in connection with pain, so assessing their non-verbal language would be imperative. In order to let the nurse can administer pain meds as required, nursing assistants must mark any pain complaints from their patients to the nurse though they cannot perform official pain assessments. Telling your patient that you are proud of him – while this may be with the best of intentions on your part, it may come off as condescending and it may also prevent him from marking any future pain to you. Letting the nurse know that your patient needs pain medication or assuming that your patient is no longer experiencing any pain, are both situations where you are making assumptions about your patient without speaking directly to him.

Patient's family is asking for a little time to pray with the patient before he/she is going to be in for a procedure. Of the choices below, which one would not be considered an acceptable response?

You should ask the family to leave so that the procedure can begin on time but assure the family that you will let your patient pray in their mind during the procedure.

If you deny the desire of patients and their family members to practice and express their religious and spiritual beliefs, you will violates their rights. The reason is patients and their family members should always have the freedom and privacy to do so.

How does your patient’s family values play a part in cultural awareness?

All of the above are correct.

When working with your patients and their families who are from different cultural backgrounds, all of the above options are important factors to think about.

Your patient has been diagnosed with a terminal illness, as a nursing assistant who has just found out that, what would the most appropriate action be when it comes to religion and spirituality?

Offer to contact your patient’s spiritual leader should they desire it.

The most appropriate action for you to take is letting your resident understand that you can contact a spiritual leader. Avoiding the problem doesn’t aid your resident in any way. Should your resident wish to talk about their diagnosis, you should create an opportunity and comfortable environment to do so. Although you may have good intentions by sharing your own beliefs and prayers, this is not really helpful and does not put your resident’s needs first.

Whenever you are working with patients who have diverse cultural or linguistic backgrounds, what would be a way that can assist you in providing effective care?

Pay attention to any stereotypes that you may have and work to correct them.

It can be considered quite offensive when talking slowly or loudly. Never should your colleagues take over your duties simply because you are feeling uncomfortable. Always try and recognize if and when you are engaging in stereotyping and avoidance and always work to improve this.

As the caregiver, what is the basic way that you can provide your patient with spiritual and emotional care?

By making sure that all their questions are answered.

You can open the doors to communication and foster empathy by checking to see if your resident has any questions. Asking your resident if they wish to see a counsellor may not be the best way to begin communicating with your resident, because they might think that you don’t wish to assist them or that you believe that they are beyond your level of care. Asking about your resident’s daily food intake doesn’t have anything to do with their emotional or spiritual needs. Finally, asking your resident about their family visits may require you to then impose upon the resident’s family members more than they are willing to give and in the end, your resident will be disappointed.

When it comes to providing care to patients from particular ethnic groups, which of the following options is the most important factor?

You must practice excellent communication.

Speaking in an overly loud voice is not necessary and it just separates your resident from the way your other residents are treated. Maintaining a physical distance from your resident is not always possible with many care procedures and would only generate a sense of distance in the rapport and trust that you should be trying to establish with your resident. Learning about your resident’s culture is appropriate, but learning everything possible about your resident’s culture is not very realistic. Good communication helps you and your resident to establish understanding and acceptance of differences.

When you discuss spiritual and religious beliefs with your patients, this can have an effect on:

All of the answers.

Whether you share the same beliefs or not, allowing your patients to talk about their spiritual beliefs allow for comfort and empathy. This shows your patients that you care. All of the answers are correct.

Of the following statements, which one shows cultural awareness in a medical care facility?

Cultural awareness has to be a part of the staff’s training if a facility is interested in treating their patients in every aspect of their being.

Nursing Assistants are required to treat patients with diverse customs and beliefs when working in a medical facility. All staff members should be aware of these differences so that each individual patient is treated with the same level of respect.

You must remember to respect patient's personal space, if you have patients who are from a culturally different background. Of the options below, which would best describe how a CNA could honour a patient’s personal space?

The CNA should explain to the patient, their care and procedures in simple terms that the patient will understand.

There are many care procedures that ask touch and physical closeness. A CNA should always explain the care and medical procedures clearly, so that the patient understands them and is aware of what to expect. Protecting your patient’s private information is definitely important, but only speaking to your patient when there is nobody else around is not very realistic and there is no need to exclude your patient’s family members from any routine or friendly conversation. Finally, including your patient’s family members in the patient’s care as much as possible is extrememly important; still, this is completely the CNA’s responsibility and it should not be shifted onto anybody else.

Which of the following benefits are your patients not provided with when they participate in religious activities?

It allows for more time for you as the CNA to get a break from your duties.

It will only benefit your patients and increase their well-being when participating in any kind of activity. When your patients spend time taking part in activities, this is the CNA’s opportunity to take a break.

You can assist your patients in meeting their spiritual and religious needs by a number of ways. Of the choices below, which one would DISCOURAGE them, rather than encourage them?

You let your patient know that you are not permitted to discuss religion with any of your patients.

Nursing assistants should always let their patients talk about and discuss their spiritual and religious beliefs. All of the other choices respect that freedom.

Which of the following four options is true?

Your patients have the right to practice their own religious beliefs, even if they are different from the other patients or staff members.

Practicing his or her own self-chosen religious beliefs is your patient's right. Regarding the patient’s religious belief system, you or your patient’s family members should not be involved in making decisions.

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