Cultural Competency Test

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CulturalCompetency Test

CulturalCompetency Assessment

Asalready noted in the previous paper, the person that was interviewedwas a Mexican. Also encompassed in the paper was an insight on theMexican culture. It should be noted that the Mexican culture hasexperienced an incredible alteration over the previous few times.However, it varies all over the wider Mexico region. Majority ofcommunities in Mexico reside in the cities, but a lesser ruralgroup’s still play a significant role in describing the country’sshared vibrant community.

Ona wider scale, indigenous Mexican still retain some of their culturesdespite of notable acculturation that resulted from the invasion ofthe Spaniards. For instance, a section of them still toleratetraditions beliefs that sickness comes as a result of a bodytemperature imbalance that could only be treated by seekingmedication which contains elements of opposite temperatures to thatof the patient. Insofar as this could be a misconstruction, it isimperative to a healthcare practitioner to have knowledge of thepatients’ culture in order to help in effective treatment process.

Mexicocountry also boasts of a hugely diverse bio-cultural heritage.Studies have revealed vast links between biological, cultural andagricultural diversity. This article seeks to describe and analyzehow cultural competency assessment can be used to improve healthcareamong the nurses and other healthcare professionals. Culturalcompetency can be simply described as a patience-centered care whichaims to better customized care as well as regain a stress on personalrelations. The goal of this paper is to offer nurses with a sequenceof proficient skills that will augment efficient conveyance ofpatient-centered care in the event of ethnic conflict between thenurse and a patient. Major basis of cultural competency is to improvehealth equity and minimize disparities that may arise from certaindisadvantaged populations.

Thearticle will offer an explanation of necessary cultural skillsrequired to develop a reciprocally acceptable as well astraditionally pertinent treatment plan for every patient. Also, adescription of operative approaches for cultural happenstances willbe provided.

Areasthat would affect nursing care of a Mexican


Mostpatients still harbor some cultural beliefs which could bedetrimental in nursing process. For instance, Javier still believesin the notion that cold ailments like ulcers ought to be treated withhot medicines. Another negative cultural aspect still present in theinterviewee is the tolerance to folk health medical practitioners orhealers that still use traditional nursing methods.


Javierstill has an immense appetite for junk foods such as chocolate. In asmuch as diabetes is genetically linkable, excessive consumption ofsugary food stuffs could trigger it or fuel its severity. Propernutrition is an important part of nursing process because itsignificantly helps in the healing process and mitigating the effectsof diseases.


Accordingto the Mexican family setup, the act of caring for the patients isexclusively left for the mother or females in the community. Theculture still holds in many Mexican households. A female patient maynot be easy with a male nurse. An environment which is shy of trustcould make nursing care difficult and complicated.

Certainhigh risk behaviors

Oneof the most conspicuous high risk behaviors of Mexicans who live nearthe boarders of the USA like Javier is there immigration tendencies.This trend comes with a clique of its ramifications. It could leadinfidelity tendencies amongst men folks which could in turn result toa wide spread of diseases like HIV and Aids and other sexuallytransmitted diseases. These kinds of diseases attract stigmatizationnot only in the community but also amongst the nursing fraternity.Consequently, such a patient might not be able to get quality nursingcare.


Duringthe research, it was noted that most Mexicans are monolingual. Thefactor manifested itself even during the interview with Javier.Communication is undoubtedly a vital factor in nursing. Anyamputation to efficient communication between the patient and thecaregiver poses a serious challenge to the nursing care.

HowConcepts learned may be used to influence nursing care

Thelearned concepts that may be used to influence nursing care can bebest represented by an acronym ETHIC explanation, treatment,healers, negotiation, intervention and collaboration (Smith, 2012).This concept dictates that an effective treatment process shouldbeing by explanations of the problem by the patient to a nurse. Thisentails an inquiry by the nurse on major areas of concern to patient.Especially in a case where a patient is unable to explain himselfwell. The second phase is about treatment. Here, it is important fora nurse to inquire about the kinds of treatments, if any, that thepatient had been given for the problem or disease. This may compriseuse of vitamins, home remedies, and herbs among others. Subsequent,the nurse may determine whether that patient has sort help orguidance from other health experts, folk caregivers or even helperswho may not necessarily be healthcare specialists. With thatknowledge, the nurse will at that point lobby or negotiate in aneffort to establish a possibility that will be reciprocallyconvenient as well as satisfactory to the nurse plus patient and alsodetermine a suitable mediation which should integrate alternativetreatment methods. Lastly, it is imperative to join forces with thepatient’s family fellows or the patient himself, other relevanthealthcare professionals, community resources and even healers. Thelatter ought to be observe during all phase of this assessmentprocess (Jablonski, Raabe-PHD, Fameree, 2015).

Anotheracronym that encompasses the necessary nursing skills in such anenvironment is Learn listen, explain, acknowledge, recommend andnegotiate (Smith, 2012). This mnemonic tool indicates that a nurseshould first listen to a patient’s insight of the condition andthen clarify the problem to the patient. The subsequent step shouldbe to recognize the differences as well as similarities of the twoinsights. This should be followed by a recommendation which mustinvolve the nurse. Finally, negotiation of the convenient treatmentplan should prevail with a knowledge that it is may be beneficial toengage the patients’ culture into the patient centered plan.

of a Students cultural competency change

Theresearch has impacted a lot on the competency level of the caregiver.Through it, the caregiver has learned the basic techniques ofhandling patients from diverse backgrounds and beliefs. It has alsoprovided a much needed head start to the student what should beexpected in the field of nursing. This has provided some depth andillustrated practicality dimensions to the concepts which hadextensively been learned theoretically in the classroom.

Inthe field of nursing, it is important to attain a recommended levelof competency in order for you to offer quality services to thepatients. The students have learned that different patients fromdifferent cultures may require same medication methods but theirhandling techniques may be different in accordance with culturalbeliefs and perceptions.

Howcompetency knowledge may be used to affect nursing care

Competencyknowledge implies that for a culturally competent andpatient-centered method to work efficiently to resolve culturalencounter, it should not consequence in a’ win or lose’ case foreither of the two parties. On the contrary, it ought to produce a‘win-lose/win-lose’ case for both the nurse and the patient. Thevalues of the patient and the nurse should be respected. A win casefor a nurse is one where the nurse feels she triumphs by having thepatient ingest the prescribed medicine and not option for folkhealers. She loses if the patient takes part in old-style treatmentsand fails to take the modernized recommended medications.

Fora patient-centered as well as cultural competent method to workefficiently in diffusing the cultural struggles, it must be perceivedas a ‘win as well as lose’ case for both parties. This isregarded as a ‘win as well as lose/win as well as lose’ case(Patankar, 2012). This approach ensures that both the patienttogether with the nurse hold specific facets of their ideals in thetreatment process. They all lose in the sense that the resultingtreatment undergoes necessary modifications in its values. A patientmight be allowed to employ other forms of treatment but only in amodified manner with observes the recommended medical and nursingpractices.


Inorder to deliver culturally competent treatment which are patientcentered in an environment which is saturated by cultural clashes,nurses are encouraged to utilize the skills which have already beenillustrated in the article. The acronym of ETHNIC accurately embodiesall the necessary skills which are essential to be observed in thiscause. Incorporating the constructs of cultural skills and culturalconflicts in the patient-nurse interactions can play a significantrole in enhancing and upholding a patient-centered care inenvironment which is characterized by cultural conflicts.


Jablonski,D., Raabe-PHD, M., Fameree, L. (2015). Ambulatorycare nursing certification review course syllabus. Pitman,NJ: American Academy of Ambulatory Care Nursing

Patankar,M. (2012). Safetyculture building and sustaining a cultural change in aviation andhealthcare.Farnham: Ashgate.

Smith,S., &amp Duell, D. (2012). Clinicalnursing skills: Basic to advanced skills (8th ed.).Boston: Pearson.

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