Nokea
Which of the following questions best encourages the client to disclose information the nurse must assess to provide culturally competent care?
- A. How do you want me to help you?
- B. Do you want me to contact your preacher?
- C. What special dietary preferences do you have?
- D. Which family members do you want to receive calls from?
Correct Answer: A
Rationale: An open-ended question like 'How do you want me to help you?' encourages clients to share cultural values without assumptions.
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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.
A nurse is teaching decision-making skills to a client with dependent personality disorder. According to Erikson, the likely cause of the client developing dependent personality is failure to meet the critical task of which developmental stage?
- A. Trust
- B. Autonomy
- C. Initiative
- D. Industry
Correct Answer: D
Rationale: Failure to complete the critical task of industry versus inferiority results in a negative outcome, impeding the development of confidence in one's abilities, which can contribute to dependent personality traits.
A Filipino client meets the nurse for the first time. The client simply smiles at the nurse when introduced. The nurse interprets this behavior as
- A. a display of being shy and introverted
- B. a typical greeting for a Filipino client.
- C. constricted verbal skills associated with the client's illness.
- D. a sign that the client may be suspicious of the nurse.
Correct Answer: B
Rationale: Smiles are a common form of greeting in Filipino culture.
Which of the following situations would most likely provide social support to a client?
- A. A friend who will share his or her perspective on an issue
- B. The transportation service that provides access to daily rehabilitation services
- C. Fellow teammates participating in a community softball league
- D. The teacher assisting a client to obtain a GED
Correct Answer: A
Rationale: Social support comes from relationships that provide emotional sustenance, such as a friend sharing perspectives.
A holistic plan of recovery would be especially important to a client from which of the following cultural groups?
- A. American Indian
- B. African American
- C. Mexican American
- D. Arab American
Correct Answer: A
Rationale: The American Indian concept of health is holistic, emphasizing wellness and balance.