A nurse is caring for a client who has recently immigrated from China and is experiencing culture shock. Which intervention should the nurse implement to help the client cope with the stress of acculturation?

Encourage the client to adopt the dominant culture as soon as possible.

Provide the client with information about local support groups and resources for immigrants.

Discourage the client from expressing negative emotions or frustrations about the new culture.

Avoid asking the client about their cultural beliefs and practices to prevent stereotyping.

Answer and Explanation

The Correct Answer is B

Rationale: The nurse should provide the client with information about local support groups and resources for immigrants, as this can help the client to connect with others who share similar experiences and challenges, and to access services that can facilitate their adjustment and integration into the new culture.

Incorrect options:

A) Encourage the client to adopt the dominant culture as soon as possible. - This is an incorrect intervention, as it may cause the client to feel pressured to abandon their own cultural identity and values, which can increase their stress and alienation.

C) Discourage the client from expressing negative emotions or frustrations about the new culture. - This is an incorrect intervention, as it may invalidate the client's feelings and prevent them from coping effectively with their culture shock. The nurse should acknowledge and empathize with the client's emotions and help them to find positive ways to deal with them.

D) Avoid asking the client about their cultural beliefs and practices to prevent stereotyping. - This is an incorrect intervention, as it may create a barrier to communication and rapport between the nurse and the client, and prevent the nurse from providing culturally competent care. The nurse should ask open-ended questions and show respect and curiosity for the client's cultural background and preferences.

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Correct Answer is B

Explanation

Rationale: The nurse should use visual aids, demonstrations, and examples to supplement verbal information, as this can help to enhance comprehension, retention, and application of health education among clients who may have language barriers, low literacy skills, or different learning styles.

Incorrect options:

A) Use medical jargon and technical terms to demonstrate expertise and credibility. - This is an incorrect strategy, as it may confuse or intimidate clients who are not familiar with medical terminology or concepts, and create a power imbalance between the nurse and the clients.

C) Use a standardized curriculum and teaching materials for all clients regardless of their culture or literacy level. - This is an incorrect strategy, as it may not address the specific needs, preferences, or values of each client, and fail to account for cultural variations in health beliefs, practices, or behaviors.

D) Use humor, sarcasm, and idioms to make the teaching more engaging and memorable. - This is an incorrect strategy, as it may offend or mislead clients who do not share the same cultural or linguistic context as the nurse, and cause misunderstanding or miscommunication.

A. The client is being disrespectful and uncooperative. B. The client is expressing deference and respect. C. The client is feeling anxious and fearful. D. The client is hiding something or lying.

Correct Answer is B

Explanation

Rationale: The nurse should interpret these behaviors as expressions of deference and respect, as some indigenous cultures consider direct eye contact and loud speech to be rude or aggressive, especially when interacting with authority figures or strangers.

Incorrect options:

A) The client is being disrespectful and uncooperative. - This is an incorrect interpretation, as it reflects a bias or ethnocentrism on the part of the nurse, who may be imposing their own cultural norms and expectations on the client.

C) The client is feeling anxious and fearful. - This is an incorrect interpretation, as it may be based on a stereotype or assumption that indigenous people are timid or submissive. The nurse should not attribute emotions or feelings to the client without further assessment or evidence.

D) The client is hiding something or lying. - This is an incorrect interpretation, as it may indicate a lack of trust or rapport between the nurse and the client, which can hinder the quality of care. The nurse should not judge or accuse the client based on their nonverbal cues alone.

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A nurse is caring for a client who has recently immigrated from China and is experiencing culture shock. Which intervention should the nurse implement to help the client cope with the stress of acculturation?

Nursing Test Bank

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