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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Designating a single area in the home for smoking while using oxygen is not a safe practice. Oxygen supports combustion and can cause materials to ignite more easily and burn faster, increasing the risk of fires and severe burns.
Choice B rationale
While bright patterns on throw rugs may make them more visible, they can still pose a tripping hazard, especially for older adults or individuals with mobility issues.
Choice C rationale
Installing carbon monoxide detectors throughout the home is a key safety measure. Carbon monoxide is a colorless, odorless gas that can cause sudden illness and death if inhaled.
Choice D rationale
Administering ipecac to induce vomiting after ingesting poison is not recommended. It can cause harm and is not effective for all types of poisonings.
Correct Answer is A
Explanation
Choice A rationale
During systole, the ventricles contract to pump blood out of the heart to the body and lungs.
Choice B rationale
The ventricles relax during diastole, not systole.
Choice C rationale
The atria also contract during systole, but this occurs just before ventricular systole.
Choice D rationale
This choice is incorrect because both the ventricles and the atria contract during systole.
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