Page 116 - Saunders Comprehensive Review For NCLEX-RN

Introduction

Pyramid to Success

Nurses often care for clients who come from ethnic, cultural, or religious
backgrounds that are different from their own. Nurses are also in a primary and
unique position to address the individualized needs and care for various special
population groups. Awareness of and sensitivity to the unique health and illness
beliefs and practices of people of different backgrounds and those of special
population groups are essential for the delivery of safe and effective care.
Acknowledgment and acceptance of personal, cultural, religious, and spiritual
differences with a nonjudgmental attitude are essential to providing culturally
sensitive care. The NCLEX-RN® exam test plan is unique and individualized to the
client’s personal and cultural beliefs. The nurse needs to avoid stereotyping and
needs to be aware that there are several special population groups, subcultures
within cultures, and there are several dialects within languages. In nursing practice,
the nurse should assess the client’s perceived needs before planning and
implementing a plan of care.
Across all settings in the practice of nursing, nurses frequently are confronted with
ethical and legal issues related to client care. The professional nurse has the
responsibility to be aware of the ethical principles, laws, and guidelines related to
providing safe and quality care to clients. In the Pyramid to Success, focus on ethical
practices; the Nurse Practice Act and clients’ rights, particularly confidentiality,
information security, and informed consent; advocacy, documentation, and advance
directives; and cultural, religious, and spiritual issues. Knowledgeable use of
information technology, such as an electronic health record, is also an important role
of the nurse.
The National Council of State Boards of Nursing (NCSBN) defines management of
care as the nurse directing nursing care to enhance the care delivery setting to
protect the client and health care personnel. As described in the NCLEX-RN exam
test plan, a professional nurse needs to provide integrated, cost-effective care to
clients by coordinating, supervising, and collaborating or consulting with members
of the interprofessional health care team. A primary Pyramid Point focuses on the
skills required to prioritize client care activities. Pyramid Points also focus on
concepts of leadership and management, the process of delegation, emergency
response planning, and triaging clients.

Client Needs: Learning Objectives

Safe and Effective Care Environment

116