Nokea
While providing personal care for a client, the nurse observes that the client is not comfortable with the close physical proximity. How will the nurse alleviate the discomfort of the client during personal care?
- A. Speak words or phrases in the client's style of speaking.
- B. Maintain sufficient distance.
- C. Ensure that the client's family member is present.
- D. Provide simple explanations of the need for physical proximity.
Correct Answer: D
Rationale: Simple explanations of the need for physical proximity during clinical procedures and personal care help alleviate the discomfort that the client may experience. Maintaining sufficient distance and ensuring that the client's family member is present may not help alleviate the discomfort the client is experiencing. Speaking words or phrases in the client's language will help in communicating with clients who do not speak the dominant language, but this action is not related to proximity.
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A nurse is completing discharge instructions for a client. The nurse can best evaluate the likeliness that the client will adhere to the instructions by the use of which action?
- A. Make the client promise to follow the instructions and adhere to the plan.
- B. Ask if the client agrees with the instructions that are outlined.
- C. Assess the client's beliefs regarding health maintenance, promotion, and remedies.
- D. Observe the client's face to see if the client is smiling, which can be interpreted as agreement.
Correct Answer: C
Rationale: Some individuals will not openly disagree with people in authority or who possess advanced education, so it is best for the nurse to assess the client's beliefs regarding health maintenance, promotion, and remedies. A client smiling, agreeing to, or promising to comply is not proof of agreement because the client may believe it impolite to disagree with someone seen as being in a position of authority.
The nursing instructor discussed the theory of energy forces existing between organisms and objects in the universe and called this yin-yang. Yin-yang is an example of which societal view of illness?
- A. Biomedical perspective
- B. Magico-religious perspective
- C. Naturalistic perspective
- D. Scientific perspective
Correct Answer: C
Rationale: The naturalistic view espouses that human beings are only one part of nature. The yin-yang theory promotes the idea that energy forces exist between organisms and objects in the universe. The balance between these forces is health. The biomedical or scientific view embraces a cause-and-effect philosophy of human body functions. The magico-religious view believes that supernatural forces dominate.
A client of Japanese descent describes a family trait of having less relief from analgesics than a friend of German descent. Which statement best describes this client's situation?
- A. The client should be assessed for concurrent use of herbal preparations.
- B. The client's racial background can affect drug metabolism.
- C. This type of medication should not be prescribed to this client.
- D. Biocultural ecology is the study of biologic cultural differences.
Correct Answer: B
Rationale: The client's racial background can influence many things including drug metabolism, which would explain why the client reports receiving less relief from analgesics than a friend from another racial background. The client should be assessed for the use of herbal preparations but that does not necessarily explain the client's reaction to analgesics. There is no indication that analgesics should not be prescribed to the client. It is correct that biocultural ecology is the study of biologic cultural differences, but this option is not the best description of the client's situation. It just provides a definition of biocultural ecology.
The nurse walks into the client's room and finds a shaman 'fluffing the aura' of the client. What is the best action of the nurse?
- A. Leave the room and provide privacy to the client.
- B. Call the health care provider to report the findings.
- C. Ask the shaman to stop to allow the nurse to change IV tubing.
- D. Notify security of the activity in progress.
Correct Answer: A
Rationale: By leaving the room and providing privacy the nurse supports the client in the quest to practice health practices within their culture and beliefs. Documentation of the activity is appropriate. Notifying the health care provider will not stop or support the belief. Notifying security and/or asking the shaman to leave may anger the client and violate the practice of a religious/cultural ritual.
How can the nurse best provide culturally sensitive care?
- A. Become familiar with physical differences among ethnic groups.
- B. Provide the proper food for nourishment.
- C. Accept each client as a unique individual.
- D. Facilitate rituals that bring comfort to the client.
Correct Answer: C
Rationale: Becoming familiar with physical differences, providing food that is customary to the culture, and facilitating rituals are all recommendations for enhancing transcultural sensitivity, but accepting each client as an individual is a characteristic that is found in the provision of culturally competent care.