The nurse is performing an admission assessment for a client admitted to the behavioral health unit. Which social/cultural category will the nurse document that may be contributing to the client's degree of mental illness? Select all that apply. (Select All that Apply.)

Assessing the carotid pulse simultaneously on both sides of the neck can potentially lead to excessive pressure on the carotid arteries, which supply blood to the brain. This pressure can compromise blood flow to the brain and result in adverse effects, such as decreased blood supply and oxygenation to the brain tissues.

In clinical practice, it is generally recommended to assess the carotid pulse unilaterally, meaning one side at a time, to ensure adequate blood flow to the brain is maintained during the assessment. This allows for a proper evaluation of the pulse without interfering with the circulatory system.

The other choice are incorrect:

Femoral: Assessing the femoral pulse bilaterally at the same time is generally considered safe. The femoral artery is located in the groin area and provides blood supply to the lower

extremities. Bilateral assessment allows for comparison of pulses and evaluation of circulation in both legs.

Popliteal: The popliteal pulse is located behind the knee. Similar to the femoral pulse, assessing the popliteal pulse bilaterally at the same time is typically safe. It allows for comparison between both legs and evaluation of lower limb circulation.

Brachial: The brachial pulse is located in the upper arm and is commonly used for blood pressure measurement in clinical settings. Assessing the brachial pulse bilaterally at the same time is generally considered safe and is routinely done during blood pressure assessment.

Nurses should focus on clients' cultures, rather than their ethnicity, when providing care: Cultural competence involves understanding and respecting the beliefs, values, practices, and customs of different cultures. It is important for nurses to recognize that culture extends beyond ethnicity and encompasses various aspects such as religion, language, socioeconomic status, and more. By focusing on clients' cultures, nurses can provide care that is sensitive and tailored to their unique needs and preferences.

The following are incorrect:

Nonverbal communication is important in many cultures: Nonverbal communication, including body language, facial expressions, and gestures, plays a significant role in communication across cultures. Different cultures may have specific nonverbal cues and interpretations. Nurses

should be aware of these variations and understand how nonverbal communication impacts their interactions with clients. By being attentive to nonverbal cues, nurses can enhance communication, build trust, and promote effective care.

Nurses should not expect clients to adapt to the care provided regardless of culture: Culturally competent care acknowledges and respects the diversity of clients' cultural backgrounds. It is important for nurses to recognize that clients' cultural beliefs, values, and practices may influence their healthcare preferences and decisions. Nurses should strive to provide care that is congruent with clients' cultural values and preferences, rather than expecting them to adapt entirely to a standardized approach. This promotes patient-centered care and enhances client satisfaction and outcomes.

"Culture plays no role in determining when a client will seek medical care" is incorrect. Culture significantly influences an individual's healthcare-seeking behaviors, including beliefs about illness, preventive care practices, and help-seeking patterns. Understanding these cultural factors is essential for nurses to provide appropriate and effective care.