A nurse is working with a client who has recently immigrated from Somalia and practices Islam. The client is fasting during Ramadan, which coincides with their hospitalization. What should the nurse do to support the client's cultural and religious needs?

Encourage the client to eat small amounts of food throughout the day to maintain their nutritional status

Arrange for the client to have halal meals delivered to their room after sunset and before dawn

Explain to the client that fasting is not advisable for their health condition and offer them alternative options

Respect the client's decision to fast and monitor them for signs of dehydration or hypoglycemia

Answer and Explanation

The Correct Answer is D

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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Correct Answer is D

Explanation

Rationale: The nurse should use a professional interpreter, preferably one who is trained and certified in health care, to ensure accurate, clear, and culturally appropriate communication and education with the client. A professional interpreter can also help to maintain the client's privacy, confidentiality, and dignity.

Incorrect options:

A) Use simple words and gestures to communicate with the client directly - This is an ineffective way to communicate with the client, as it may lead to misunderstanding, confusion, or frustration. It may also convey a lack of respect or professionalism from the nurse.

B) Ask the client's son to translate the instructions for the client verbally - This is an inappropriate way to communicate with the client, as it may compromise the quality and accuracy of the information. The client's son may not be familiar with medical terminology, may omit or alter some details, or may have a personal bias or agenda.

C) Provide written instructions in both English and the client's native language - This is an insufficient way to communicate with the client, as it may not address the client's literacy level, comprehension level, or learning style. It may also not allow for feedback or clarification from the client.

A. Invite a religious leader from the local mosque to deliver a prayer before each session B. Include some traditional Syrian dishes and beverages as part of the refreshments C. Use some Arabic words and phrases when greeting and thanking the clients D. All of the above

Correct Answer is D

Explanation

The nurse should use a variety of culturally relevant strategies to enhance the clients' participation and engagement in the health promotion program. These strategies may include:

- Inviting a religious leader from the local mosque to deliver a prayer before each session - This may show respect for the clients' faith and spirituality, which may be an important source of strength and resilience for them.

- Including some traditional Syrian dishes and beverages as part of the refreshments - This may show appreciation for the clients' culinary heritage and preferences, which may be an important aspect of their identity and culture.

- Using some Arabic words and phrases when greeting and thanking the clients - This may show interest in learning about the clients' language and communication style, which may be an important factor in building rapport and trust with them.

Incorrect options:

None

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A nurse is working with a client who has recently immigrated from Somalia and practices Islam. The client is fasting during Ramadan, which coincides with their hospitalization. What should the nurse do to support the client's cultural and religious needs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a client who has limited English proficiency. The client is accompanied by their adult son, who speaks both English and the client's native language. What is the best way for the nurse to ensure effective communication and education with the client?

Correct Answer is D

Explanation

A nurse is planning a health promotion program for a group of clients who are refugees from Syria. The nurse wants to incorporate some culturally relevant strategies to enhance the clients' participation and engagement. What should the nurse do?

Correct Answer is D

Explanation

A nurse is working with a client who has recently immigrated from Somalia and practices Islam. The client is fasting during Ramadan, which coincides with their hospitalization. What should the nurse do to support the client's cultural and religious needs?

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