A nurse is conducting a health assessment for a client who identifies as Native American. The nurse notices that the client avoids eye contact during the interview. How should the nurse interpret this behavior?
The client is shy and nervous.
The client is disrespectful and rude.
The client is showing respect and deference.
The client is hiding something or lying.
The Correct Answer is C
Rationale: The nurse should interpret the client's behavior as showing respect and deference, as this is a common cultural norm among some Native American groups. Eye contact may be considered intrusive or aggressive in some cultures, and avoiding eye contact may indicate respect for authority or elders.
Incorrect options:
A) The client is shy and nervous. - This is not a correct interpretation, as it may reflect the nurse's own cultural bias or assumption, rather than the client's actual feelings or intentions.
B) The client is disrespectful and rude. - This is not a correct interpretation, as it may reflect the nurse's own cultural bias or assumption, rather than the client's actual feelings or intentions.
D) The client is hiding something or lying. - This is not a correct interpretation, as it may reflect the nurse's own cultural bias or assumption, rather than the client's actual feelings or intentions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale: The nurse should use this strategy to promote cultural competence in health education, as it shows respect for the clients' culture and diversity, acknowledges their unique needs and preferences, and enhances their understanding and engagement.
Incorrect options:
A) Using standardized materials that are written in English and have pictures of people from different races and ethnicities. - This is not a culturally competent strategy, as it may not address the specific needs or concerns of each client group, and it may not be accessible or appropriate for clients who have limited English proficiency or literacy skills.
C) Avoiding any mention of culture or diversity, and focusing on the scientific facts and evidence-based guidelines for diabetes management. - This is not a culturally competent strategy, as it may ignore or dismiss the influence of culture on health behaviors, beliefs, and outcomes, and it may not be relevant or acceptable for clients who have different worldviews or values regarding health and illness.
D) Asking each client group to share their own experiences and challenges with diabetes, and facilitating a discussion among them. - This is not a culturally competent strategy, as it may put undue burden on the clients to educate each other or expose their personal information, and it may create conflict or misunderstanding among clients who have different perspectives or opinions.
Correct Answer is B
Explanation
The nurse demonstrates cultural sensitivity by informing the client that they can break their fast for medical reasons, as this is an exception that is allowed in Islam. The nurse should respect the client's religious beliefs and practices, but also provide accurate and relevant information that may affect their health and safety.
Incorrect options:
A) Asking the client if they would like to pray before the surgery. - This is not a culturally sensitive action, as it may imply that the nurse is questioning or challenging the client's faith or devotion.
C) Offering the client a light breakfast before the surgery. - This is not a culturally sensitive action, as it may disregard the client's religious obligation to fast during Ramadan.
D) Respecting the client's decision to fast until sunset. - This is not a culturally sensitive action, as it may compromise the client's health and safety before undergoing surgery.
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