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A nurse is working in a community health center that serves a diverse population of clients. The nurse notices that some clients from certain cultural groups tend to seek health care only when they have an acute problem or an emergency, rather than for preventive or routine care. What is the most likely reason for this behavior?

The clients have a fatalistic view of health and illness, and believe that they have no control over their health outcomes.

The clients have a holistic view of health and illness, and prefer to use alternative or complementary therapies rather than conventional medicine.

The clients have a low socioeconomic status and face barriers to accessing health care, such as lack of insurance, transportation, or time.

The clients have a high level of trust and satisfaction with their health care providers, and do not feel the need to seek health care unless they have a serious problem.

Answer and Explanation

The Correct Answer is C

Rationale: The most likely reason for this behavior is that the clients have a low socioeconomic status and face barriers to accessing health care, such as lack of insurance, transportation, or time. These factors may limit the clients' ability or willingness to seek preventive or routine care, and may increase their risk of developing or worsening chronic conditions.

Incorrect options:

A) The clients have a fatalistic view of health and illness, and believe that they have no control over their health outcomes. - This is not the most likely reason for this behavior, as it may not apply to all clients from certain cultural groups, and it may not account for other factors that influence health-seeking behaviors, such as access, availability, or affordability of health care services.

B) The clients have a holistic view of health and illness, and prefer to use alternative or complementary therapies rather than conventional medicine. - This is not the most likely reason for this behavior, as it may not apply to all clients from certain cultural groups, and it may not account for other factors that influence health-seeking behaviors, such as access, availability, or affordability of health care services.

D) The clients have a high level of trust and satisfaction with their health care providers, and do not feel the need to seek health care unless they have a serious problem. - This is not the most likely reason for this behavior, as it may not apply to all clients from certain cultural groups, and it may not account for other factors that influence health-seeking behaviors, such as access, availability, or affordability of health care services.

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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.

A. Asking the client if they would like to pray before the surgery. B. Informing the client that they can break their fast for medical reasons. C. Offering the client a light breakfast before the surgery. D. Respecting the client's decision to fast until sunset.

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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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is caring for a client who is Muslim and observes Ramadan. The client is scheduled to undergo a surgical procedure in the morning. Which action by the nurse demonstrates cultural sensitivity?

Correct Answer is B

Explanation

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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?