The nurse is caring for a newly admitted client.
Which intervention is the best example of a culturally appropriate nursing intervention?
Insist family members provide most of the client’s personal care.
Maintain a personal space of at least 2 feet when assessing the client.
Ask permission before touching a client during the physical assessment.
Consider the client’s ethnicity as the most important factor in planning care.
The Correct Answer is C
Choice A rationale
Insisting that family members provide most of the client’s personal care may not be culturally appropriate. It may place undue burden on the family and may not respect the client’s autonomy or preferences.
Choice B rationale
Maintaining a personal space of at least 2 feet when assessing the client may not be culturally appropriate. Different cultures have different norms and expectations about personal space, and this distance may be seen as too distant or impersonal in some cultures.
Choice C rationale
Asking permission before touching a client during the physical assessment is a culturally appropriate nursing intervention. It shows respect for the client’s personal space and autonomy, and acknowledges cultural differences in norms about touch.
Choice D rationale
Considering the client’s ethnicity as the most important factor in planning care is not a culturally appropriate nursing intervention. While a client’s ethnicity can influence their health beliefs and behaviors, it is only one aspect of their identity and should not be the sole basis for planning care. Hildegard Peplau Hildegard Peplau Explore
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
This statement is more about describing the specific situation (the “D” in DESC) rather than expressing the nurse’s concerns (the “E” in DESC). It’s important to note that the DESC tool stands for Describe, Express, State, and Consequences. In this context, the nurse is merely stating what happened, not expressing how it made them feel or the impact it had on them.
Choice B rationale
This statement accurately represents the “E” component of the DESC tool, which stands for "Express your concerns"12. In this scenario, the nurse is expressing their feelings about the physician’s behavior and its impact on them. They’re stating how the physician’s actions made them feel uncomfortable, especially in front of other staff members and the patient. This is a crucial step in the DESC process as it allows the individual to express their feelings and concerns about the situation.
Choice C rationale
This statement is more aligned with the “S” component of the DESC tool, which stands for "State other alternatives"12. Here, the nurse is suggesting a different way for the physician to express their concerns in the future. While this is an important part of the DESC process, it does not represent the “E” component.
Choice D rationale
This statement represents the “C” component of the DESC tool, which stands for "Consequences stated"12. In this context, the nurse is outlining the potential outcomes if they cannot agree on an alternative approach. While this is a crucial step in the DESC process, it does not represent the “E” component.
Correct Answer is D
Explanation
Choice A rationale
Deontology is an ethical theory that emphasizes duties or rules. It doesn’t focus on using case studies from one demographic to instruct a different demographic on ethical decision-making.
Choice B rationale
Utilitarianism is an ethical theory that determines right from wrong by focusing on outcomes. It suggests that the most ethical choice is the one that will produce the greatest good for the greatest number. It doesn’t involve using case studies from one demographic to instruct another.
Choice C rationale
Feminist ethics is an approach to ethics that builds on the belief that traditionally ethical theorizing has undervalued and/or underappreciated women’s moral experience. It doesn’t directly relate to the use of case studies from one demographic to instruct another.
Choice D rationale
Casuistry, in ethics, a case-based method of reasoning. It is particularly employed in field- specific branches of professional ethics such as business ethics and bioethics. Casuistry typically uses general principles in reasoning analogically from clear-cut cases, called paradigms, to vexing cases. This aligns with the scenario of a nursing educator utilizing case studies from one demographic to instruct a different demographic on ethical decision-making.
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