A nurse is caring for a client with cultural preferences affecting their personal hygiene routine. How should the nurse proceed?
Insist the client follows the facility's hygiene protocol.
Respect the client's preferences and adapt the hygiene routine accordingly.
Educate the client on the facility's standard hygiene practices.
Document the client's refusal to comply with standard practices
The Correct Answer is B
A. Insisting the client follow the facility's hygiene protocol disregards their cultural beliefs and can negatively impact trust, rapport, and patient-centered care.
B. Respecting the client’s preferences and adapting the hygiene routine demonstrates cultural competence. The nurse should work collaboratively to meet hygiene needs while honoring cultural practices, ensuring care remains safe and individualized.
C. Educating the client on facility practices is appropriate but should not replace respecting their cultural preferences; forcing compliance is not culturally sensitive.
D. Documenting refusal without attempting to accommodate cultural preferences does not address patient-centered care and may create conflict or ethical concerns.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Anger is characterized by feelings of frustration or resentment about the terminal diagnosis, which is not reflected in the client’s cheerful demeanor.
B. Bargaining involves attempting to negotiate for more time or a cure, often through “if only” statements or promises, which is not indicated in this scenario.
C. Depression is marked by sadness, withdrawal, or hopelessness in response to terminal illness, which contrasts with the client’s positive outlook.
D. Denial is the stage in which a client may refuse to accept the reality or severity of their prognosis. The client’s statement about looking forward to a vacation beyond their expected lifespan demonstrates denial, as they are not fully acknowledging the terminal nature of their condition.
Correct Answer is D
Explanation
A. Using a washcloth instead of a sponge can help with hygiene but does not directly ensure the client’s safety during bathing.
B. Positioning the client in a semi-Fowler’s position can enhance comfort and reduce aspiration risk but may not address immediate safety concerns such as burns.
C. Adding bath oils may improve skin hydration but can make the bathing surface slippery, potentially increasing the risk of falls.
D. Ensuring the water temperature is appropriate is the priority for safety. Water that is too hot can cause burns, while water that is too cold can cause discomfort or stress, making temperature control the most critical step to protect the client during bathing.
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