The nurse is caring for a client who refuses the food as served. He states that the food is foreign to him and will make him ill. All food must be blessed. The personal care attendant is upset by this behavior and states that the client should eat the food anyway.
The most likely basis for the client's behavior is:
Cultural belief.
Psychosocial deficit.
Hygiene.
Allergies.
The Correct Answer is A
Choice A rationale
The client's refusal of served food, perceiving it as foreign and potentially harmful, and the requirement for food to be blessed, strongly indicate that their behavior is rooted in cultural beliefs or practices. Culture heavily influences dietary habits, food preparation, acceptability, and spiritual rituals surrounding meals, making this the most likely basis for the stated refusal.
Choice B rationale
A psychosocial deficit would imply an impairment in the client's mental or social functioning, such as severe cognitive decline or inability to form relationships. The client's articulate explanation relating the refusal to foreign food and the need for blessing suggests a structured belief system, not an arbitrary functional deficit.
Choice C rationale
Hygiene relates to practices necessary for maintaining health and preventing disease, such as cleanliness of the food or the environment. The client's specific concern about the food being "foreign" and needing to be "blessed" does not directly relate to standard cleanliness or sanitary practices.
Choice D rationale
Allergies are specific, adverse immunological reactions to particular food components, often presenting with physical symptoms like hives or anaphylaxis. The client's verbalized reason for refusal involves food being "foreign" and needing spiritual preparation, which is distinct from a medically defined allergic response.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The U.S. Department of Health and Human Services (USDHHS) is the principal agency for protecting the health of all Americans and providing essential human services, especially for those least able to help themselves. It oversees critical public health and social service programs, including the CDC, NIH, and CMS, making it the main federal body directly involved in the health and healthcare of U.S. citizens and those granted refuge/asylum status.
Choice B rationale
Ensuring that healthcare organizations provide quality care is a function often carried out by independent, non-governmental organizations such as The Joint Commission (TJC), or by federal agencies within USDHHS, such as the Centers for Medicare & Medicaid Services (CMS) and the Agency for Healthcare Research and Quality (AHRQ). While USDHHS oversees quality initiatives, the broader responsibility of the department is more comprehensive than solely guaranteeing quality.
Choice C rationale
The responsibility for increasing costs is a complex economic issue stemming from various market factors, and addressing patient safety and medical errors is a primary focus of the Agency for Healthcare Research and Quality (AHRQ), which is one of the operating divisions within the USDHHS. The USDHHS's mission encompasses these areas but is broader, focusing on advancing the health, safety, and well-being of the entire nation.
Choice D rationale
Conducting research aimed at improving the economics of healthcare is specifically a major part of the mission of the Agency for Healthcare Research and Quality (AHRQ), a component of the USDHHS. While the USDHHS funds and conducts research through agencies like the National Institutes of Health (NIH), the department's overall role is far more extensive, involving the provision of services, regulation, and enforcement across the entire health and human services sector.
Correct Answer is A
Explanation
Choice A rationale
Respect for autonomy is the ethical principle that obligates healthcare providers to acknowledge and honor an individual's right to self-determination. This means clients have the fundamental right to make informed decisions about their own healthcare, including accepting or refusing treatment, provided they have the capacity to do so.
Choice B rationale
Distributive justice is the ethical principle concerned with the fair allocation of scarce resources and ensuring that benefits and burdens are distributed equitably across society. It addresses questions of fairness in healthcare access and resource allocation among populations, not individual self-determination.
Choice C rationale
Nonmaleficence is the core ethical principle to "do no harm.”. It obligates healthcare providers to refrain from actions that could intentionally or unintentionally cause injury or suffering to the client, forming a foundational duty in all medical and nursing practice.
Choice D rationale
Paternalism is an action taken for a client's benefit without their consent, often overriding their autonomous choices because the provider believes they know what is best. This concept is typically viewed as a violation of the principle of respect for autonomy, not a principle that honors it.
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