Time orientation within cultures can vary quite a bit.
The client receiving a transplant will need to maintain a strict schedule of antirejection medications.
The client states that he has never used a watch before, and his people do things when they know they should be done.
An appropriate response by the nurse would be which of the following?
"You have to take these at a certain time, or you will die.".
"Well, that's your prerogative. Here is the schedule. If you adhere to it, you'll be healthier.".
Tell me more about that. Let's talk about finding a method that will work for you.".
"Here is the schedule. Here is a watch. You take these three medications at 8 am, these four at noon, and these three again at 5 pm. At 10 pm, you have these five pills, and you will take them at 3 pm.".
Aloe promotes wound healing.
The Correct Answer is C
It is important for the nurse to understand the client’s cultural perspective and work with them to find a method that will help them adhere to their medication schedule.
This approach shows respect for the client’s cultural beliefs and values while also emphasizing the importance of taking their medications on time.
CHOICE A. Telling the client that they will die if they do not take their medications at a certain time is not an appropriate response as it may cause unnecessary fear and anxiety.
CHOICE B. Telling the client that it is their prerogative to follow the schedule or not does not emphasize the importance of adhering to the medication schedule.
CHOICE D. Simply providing the client with a schedule and a watch without discussing their cultural beliefs and values may not be effective in helping them adhere to their medication schedule.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Temperature 97.0°F; pulse 54 bpm; respirations 14 breaths/minute; blood pressure 196/114 mmHg.
This set of vital signs is cause for concern because the blood pressure is significantly elevated.
A blood pressure reading of 196/114 mmHg is considered a hypertensive crisis and requires immediate medical attention.
Choice A) Temperature 96.9°F; pulse 100 bpm; respirations 20 breaths/minute; blood pressure 120/80 mmHg is within normal limits for an adult.
Choice C) Temperature 98.6°F; pulse 60 bpm; respirations 14 breaths/minute; blood pressure 110/66 mmHg is also within normal limits for an adult.
Choice D) Temperature 99°F; pulse 72 bpm; respirations 16 breaths/minute; blood pressure 100/60 mmHg is slightly elevated but not cause for immediate concern.
Correct Answer is A
Explanation
The action that best demonstrates cultural competence is for the nurse to ask the clients what matters most to them in their illness and treatment.
Cultural competence describes the ability to effectively interact with people belonging to different cultures.
The importance of cultural competence in nursing focuses on health equity through patient-centered care, which requires seeing each patient as a unique person1.
Choice B is not the correct answer because telling clients that they should not continue taking herbs does not demonstrate cultural competence.
Choice C is not the correct answer because asking clients if they utilize shaman does not demonstrate cultural competence.
Choice D is not the correct answer because telling clients that they should follow the provider’s orders does not demonstrate cultural competence.
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