A nurse is conducting a health assessment of a client who belongs to a Native American tribe. The nurse notices that the client avoids eye contact during the interview. How should the nurse interpret this behavior?

The client is being disrespectful or dishonest

The client is experiencing anxiety or fear

The client is showing respect or deference

The client is not interested or engaged

Answer and Explanation

The Correct Answer is C

Rationale: The nurse should be aware that different cultures have different norms and expectations regarding eye contact. In some cultures, such as Native American, avoiding eye contact is a sign of respect or deference, especially when interacting with someone of higher status or authority.

Incorrect options:

A) The client is being disrespectful or dishonest - This is a misinterpretation of the client's behavior based on the nurse's own cultural bias. In some cultures, such as Western, maintaining eye contact is expected and valued as a sign of respect or honesty.

B) The client is experiencing anxiety or fear - This may be true in some cases, but it should not be assumed without further assessment or evidence. The nurse should not project their own feelings or assumptions onto the client.

D) The client is not interested or engaged - This is another misinterpretation of the client's behavior based on the nurse's own cultural bias. In some cultures, such as Western, eye contact is seen as a sign of interest or engagement, but in other cultures, it may be considered rude or intrusive.

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Correct Answer is B

Explanation

Rationale: The nurse should include foods that are compatible with both the diabetic and kosher diets. A kosher diet prohibits the consumption of pork, shellfish, and meat and dairy products together. A diabetic diet emphasizes complex carbohydrates, lean protein, and fiber-rich foods.

Incorrect options:

A) Cheeseburger with whole wheat bun - This food violates both the diabetic and kosher diets. It contains simple carbohydrates, saturated fat, and meat and dairy products together.

C) Ham and cheese sandwich with fruit salad - This food violates both the diabetic and kosher diets. It contains pork, simple carbohydrates, saturated fat, and meat and dairy products together.

D) Spaghetti with meatballs and tomato sauce - This food violates both the diabetic and kosher diets. It contains simple carbohydrates, saturated fat, and meat and dairy products together.

A. Respect the client's religious practice and do not offer food or fluids B. Educate the client about the importance of nutrition and hydration for health C. Consult with the health care provider about adjusting the medication schedule D. Report the client's behavior to the social worker or chaplain

Correct Answer is C

Explanation

Rationale: The nurse should respect the client's religious practice of fasting during Ramadan, which involves abstaining from food, fluids, medications, smoking, and sexual activity from dawn to dusk. However, the nurse should also consult with the health care provider about adjusting the medication schedule, as some medications may need to be taken with food or fluids or at specific times of the day.

Incorrect options:

A) Respect the client's religious practice and do not offer food or fluids - This is partially correct, as the nurse should respect the client's religious practice, but it is not enough. The nurse should also consult with the health care provider about adjusting the medication schedule, as some medications may need to be taken with food or fluids or at specific times of the day.

B) Educate the client about the importance of nutrition and hydration for health - This is inappropriate, as it may be perceived as disrespectful or insensitive to the client's religious practice. The nurse should not try to persuade the client to break their fast, unless there is a medical emergency or a serious risk to their health.

D) Report the client's behavior to the social worker or chaplain - This is unnecessary, as the client's behavior is not a problem or a concern, but a normal part of their religious practice. The nurse should not involve other professionals without the client's consent or request.

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A nurse is conducting a health assessment of a client who belongs to a Native American tribe. The nurse notices that the client avoids eye contact during the interview. How should the nurse interpret this behavior?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to teach a diabetic diet to a client who follows a kosher diet. Which of the following foods should the nurse include in the teaching plan?

Correct Answer is B

Explanation

A nurse is providing care to a client who practices Islam and is observing Ramadan. The nurse notes that the client has not eaten or drank anything since sunrise. What action should the nurse take?

Correct Answer is C

Explanation

A nurse is conducting a health assessment of a client who belongs to a Native American tribe. The nurse notices that the client avoids eye contact during the interview. How should the nurse interpret this behavior?

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