A novice nurse has identified impaired verbal communication for an older Asian client who recently immigrated to the United States, based on the client's reluctance to maintain eye contact and engage in a conversation with the staff. Which of the following would be an appropriate response by the nurse mentor to ensure that the nursing diagnosis is correct.

"Have you noticed the client communicating differently with family when they visit?"

"Do you think that the client's cultural traditions have an influence on their communication behaviors?"

"Have you asked the client why communication is difficult for them?"

"Could you be misdiagnosing common shyness for a communication issue?"

Answer and Explanation

The Correct Answer is B

A. Observing the client's communication with family might provide some insight but does not directly address the cultural influences on the client’s behavior.

B. Understanding the cultural background is crucial as cultural norms and traditions can significantly influence communication behaviors, such as eye contact and engagement.

C. Asking the client directly might be appropriate but does not take into account potential cultural factors that could influence their communication.

D. Misdiagnosing shyness as a communication issue could be a concern, but recognizing cultural influences helps to ensure that the diagnosis is culturally appropriate.

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Correct Answer is C

Explanation

A. While convincing a victim to escape might be a goal, it’s not always feasible or safe to suggest immediate action in such a dangerous situation.

B. Gathering information is important but should be done cautiously, ensuring the victim’s safety and comfort.

C. Being a safe and supportive presence is crucial, as it allows the victim to feel secure and open up at their own pace, which is essential for their safety and trust-building.

D. Providing resources is valuable, but ensuring that the victim feels safe and supported is a priority before sharing resources.

A. Assuming that the client will follow the standard care plan without modification based on their cultural beliefs. B. Requesting that the client conform to the nurse's personal beliefs and practices during their care. C. Avoiding discussion of cultural practices to prevent making the client uncomfortable. D. Inquiring about the client's cultural beliefs and preferences and incorporating them into the care plan.

Correct Answer is D

Explanation

A. Assuming the client will follow the standard care plan without considering cultural beliefs shows a lack of cultural competence. Each client's cultural context should be considered.

B. Requesting conformity to the nurse's beliefs disregards the client’s cultural preferences and is not respectful of their personal values.

C. Avoiding discussion of cultural practices can hinder understanding and appropriate care; addressing cultural practices is important for providing respectful and effective care.

D. Inquiring about the client's cultural beliefs and incorporating them into the care plan ensures that care is respectful, relevant, and tailored to the client's needs and values.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the nurse's main goal when (s)he encounters a possible trafficking situation?

Correct Answer is C

Explanation

A nurse is providing care to a client from a cultural background different from their own. Which of the following actions demonstrates culturally competent care?

Correct Answer is D

Explanation

The role of the nurse regarding complementary and alternative medicine should include which action?

The nurse working in emergency triage is evaluating a client with injuries frequently associated with physical abuse. Which of the following questions if answered yes by the client would indicate a higher risk of mortality?

The nurse is considering making a child abuse or neglect report to protective services. To initiate a report on child abuse or neglect, which of the following criteria does the nurse need to meet?

The nurse may encounter victims of abuse when working in the emergency department. Which of the following groups require a mandatory report of abuse to the appropriate agency? Select all that apply

A nurse is conducting an in-service presentation on human trafficking for high school students. Which of the following statements made by the students demonstrates a correct understanding of human trafficking? (Select all that apply.)

Which of the following terms best describes a victim feeling loyalty for their controller, and having negative feelings toward those who may harm the controller?

In what year did the United States recognize trafficking as a punishable crime with the passing of the Trafficking Victims Protection Act?