A nurse is conducting a health assessment on a new client who belongs to an Indigenous community. The nurse notices that the client avoids eye contact and speaks in a low voice. How should the nurse interpret these behaviors?

As signs of anxiety or fear

As signs of respect or humility

As signs of dishonesty or evasion

As signs of depression or sadness

Answer and Explanation

The Correct Answer is B

Rationale: The nurse should be aware that different cultures have different norms and expectations regarding eye contact and communication styles. In some Indigenous cultures, avoiding eye contact and speaking in a low voice are considered respectful or humble behaviors, especially when interacting with someone in a position of authority or expertise.

Incorrect options:

A) As signs of anxiety or fear - This is a misinterpretation of the client's behaviors, as they may not reflect their emotional state. The nurse should not assume that the client is anxious or fearful without further assessment or evidence.

C) As signs of dishonesty or evasion - This is a biased interpretation of the client's behaviors, as it reflects a negative stereotype or prejudice. The nurse should not judge the client's honesty or credibility based on their eye contact or voice tone.

D) As signs of depression or sadness - This is an inaccurate interpretation of the client's behaviors, as they may not indicate their mood or mental health. The nurse should not diagnose the client with depression or sadness without a comprehensive evaluation or criteria.

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Correct Answer is B

Explanation

Rationale: The nurse should respect the client's autonomy and dignity by addressing them by their preferred name and gender identity, regardless of their legal status or surgical status. This demonstrates cultural competence and sensitivity, and fosters a trusting relationship between the nurse and the client.

Incorrect options:

A) By their legal name and assigned sex at birth - This is an inappropriate way to address the client, as it disregards their gender identity and expression, and may cause them distress or harm.

C) By a neutral term, such as "patient" or "client" - This is an impersonal way to address the client, and may imply that the nurse is uncomfortable or unfamiliar with the client's gender identity. It may also make the client feel dehumanized or invalidated.

D) By asking the client's family or friends how they refer to the client - This is an unreliable way to address the client, as the client's family or friends may not be supportive or knowledgeable of the client's gender identity. It may also violate the client's privacy or confidentiality.

A. Encourage the client to eat small amounts of food throughout the day to maintain their nutritional status B. Arrange for the client to have halal meals delivered to their room after sunset and before dawn C. Explain to the client that fasting is not advisable for their health condition and offer them alternative options D. Respect the client's decision to fast and monitor them for signs of dehydration or hypoglycemia

Correct Answer is D

Explanation

Rationale: The nurse should respect the client's right to practice their religion and honor their cultural beliefs, as long as they do not pose a serious threat to their health or safety. The nurse should also monitor the client for any adverse effects of fasting, such as dehydration, hypoglycemia, electrolyte imbalance, or infection, and intervene as needed.

Incorrect options:

A) Encourage the client to eat small amounts of food throughout the day to maintain their nutritional status - This is a disrespectful way to approach the client, as it shows a lack of understanding and appreciation of their religious practice. It may also offend or alienate the client.

B) Arrange for the client to have halal meals delivered to their room after sunset and before dawn - This is a thoughtful gesture, but it does not address the issue of fasting during daylight hours, which is a requirement of Ramadan. The nurse should also consult with the client before making any arrangements for their meals, as they may have other preferences or restrictions.

C) Explain to the client that fasting is not advisable for their health condition and offer them alternative options - This is a paternalistic way to approach the client, as it implies that the nurse knows better than the client what is best for them. It may also undermine the client's faith or autonomy.

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A nurse is conducting a health assessment on a new client who belongs to an Indigenous community. The nurse notices that the client avoids eye contact and speaks in a low voice. How should the nurse interpret these behaviors?

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A nurse is conducting a health assessment on a new client who belongs to an Indigenous community. The nurse notices that the client avoids eye contact and speaks in a low voice. How should the nurse interpret these behaviors?