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?"
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. An expression of anger is appropriate because the statement reflects feelings of unfairness and blaming the deceased for the situation, which is characteristic of anger in the grieving process.
B. A plea for help is not as evident in the statement, which focuses more on the unfairness of the situation rather than directly seeking assistance.
C. Fear of making decisions is not directly related to the emotional expression in this context.
D. An explosive episode implies a sudden and intense reaction, but the statement is more reflective of anger and grief rather than an uncontrolled outburst.
Correct Answer is C
Explanation
A. Discouraging the client from using any alternative therapies is not appropriate as it disregards the client’s autonomy and preferences. It is important to respect the client’s choices while providing evidence-based guidance.
B. Advising the client about "good" versus "bad" therapies can be subjective and may not provide the comprehensive information the client needs. Instead, focus should be on evidence-based information.
C. Educating the client about therapies that they are using or interested in ensures they are informed about potential benefits, risks, and interactions with conventional treatments. This approach supports informed decision-making and safe use of complementary and alternative therapies.
D. Recommending herbal remedies is outside the scope of the nurse's role unless there is clear evidence-based information to support such recommendations. Nurses should focus on providing education rather than specific recommendations.
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