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The nurse considers cultural variations pertaining to a client's nonverbal communication. Which of the following is the primary rationale for considering alternative meanings of nonverbal communication?
- A. The nurse must become expert at interpreting the client's gestures.
- B. Nonverbal signs indicative of certain mental illnesses transcend cultural differences.
- C. Mental illnesses impair a client's ability to express nonverbal(messages.
- D. Nonverbal messages have different meanings in different cultures.
Correct Answer: D
Rationale: Nonverbal communication has different meanings across cultures, requiring the nurse to be aware of these variations.
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A client's prognosis is said to be good due to a high degree of self-efficacy. Which of the following is evidence of a high degree of self-efficacy?
- A. The client is self-motivated and asks for help when needed.
- B. The client is able to resist illness when under stress.
- C. The client responds well in stressful situations.
- D. The client uses good problem-solving abilities.
Correct Answer: A
Rationale: People with high self-efficacy are self-motivated, cope effectively with stress, and request support when needed.
Direct eye contact is preferred by which of the following cultures?
- A. Native Americans
- B. Cambodians
- C. Russians
- D. Chinese
Correct Answer: C
Rationale: Russians prefer direct eye contact, unlike the other listed cultures.
The nurse is making a cultural assessment of a client. The most important data about a client's cultural beliefs are
- A. objective data about the culture.
- B. subjective data from the client.
- C. subjective data from the family.
- D. subjective data from society.
Correct Answer: B
Rationale: The client's own perception and description of their cultural beliefs are the most important for accurate assessment.
Spirituality is especially important in helping people cope primarily for which of the following reasons?
- A. Spirituality involves the essence of a person's being and beliefs.
- B. Spirituality gives people set personal goals.
- C. Spirituality provides a reliable support network.
- D. Spirituality guides beliefs about the meaning of life events.
Correct Answer: D
Rationale: Spirituality primarily guides beliefs about the meaning of life events, serving as a primary coping mechanism.
The nurse is assessing the anxiety level of a young school-age child. The nurse encourages the child to express feelings through the use of toys in a play situation. The purpose for this approach to assessment is largely related to which of the following?
- A. The child has cognitive impairment and has limited vocabulary skills.
- B. The child has not been intellectually stimulated and can only express self through play.
- C. Children may not have developed the language to fully describe their feelings.
- D. Children will not express themselves openly unless instructed to do so by parents.
Correct Answer: C
Rationale: A client's age can influence how he or she expresses illness. A young child may lack the understanding and ability to describe his or her feelings, which may make management of the disorder more challenging.