When working with clients of any culture, which action would the nurse avoid?
Assuming that all individuals within a culture or ethnic group are similar
Using an interpreter to obtain health information during an assessment
Maintaining eye contact to avoid being rude and making the client uncomfortable
Supporting the client in participating in cultural and spiritual rituals
The Correct Answer is A
Choice A reason: Assuming that all individuals within a culture or ethnic group are similar is stereotyping. This action disregards the uniqueness of each client and assumes homogeneity within cultural groups. It can lead to inappropriate care, miscommunication, and lack of respect for individual differences. Nursing practice emphasizes individualized care, cultural humility, and avoiding generalizations.
Choice B reason: Using an interpreter to obtain health information during an assessment is appropriate when language barriers exist. It ensures accurate communication, prevents misunderstandings, and promotes patient safety. Professional interpreters are preferred over family members to maintain confidentiality and accuracy.
Choice C reason: Maintaining eye contact is often considered respectful in many cultures, but nurses must be sensitive to cultural variations. In some cultures, direct eye contact may be seen as disrespectful or confrontational. The nurse should assess the client’s comfort level and adapt accordingly. However, maintaining eye contact itself is not inherently wrong—it is the assumption of similarity that is problematic.
Choice D reason: Supporting the client in participating in cultural and spiritual rituals demonstrates respect for cultural values and promotes holistic care. Encouraging such practices fosters trust, supports emotional well-being, and aligns with patient-centered care.
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Related Questions
Correct Answer is B
Explanation
Choice A reason: Frequently modifying the daily schedule can increase confusion and anxiety in clients with cognitive impairment. Consistency is more beneficial than variety in this population.
Choice B reason: Allowing the client to make simple choices, such as selecting between two outfits, promotes autonomy and self-esteem. It provides a sense of control without overwhelming the client. This is the most appropriate intervention.
Choice C reason: Leaving the client alone in the bathroom may compromise safety and increase risk of falls or injury. It does not promote self-esteem and may cause distress.
Choice D reason: Assigning a variety of caregivers can reduce consistency and increase confusion. Clients with marked confusion benefit from familiar caregivers to build trust and security.
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason: Sertraline is an SSRI approved for PTSD. It reduces intrusive thoughts, hyperarousal, and avoidance behaviors. Its efficacy is well-documented in clinical trials.
Choice B reason: Lorazepam is a benzodiazepine, not a first-line treatment for PTSD. While it may reduce acute anxiety, it does not address core PTSD symptoms and carries risks of dependence and tolerance.
Choice C reason: Venlafaxine, an SNRI, is effective in treating PTSD. It targets both serotonin and norepinephrine pathways, improving mood regulation and reducing hyperarousal symptoms.
Choice D reason: Paroxetine is an SSRI approved for PTSD. It helps reduce re-experiencing symptoms and improves overall functioning.
Choice E reason: Fluoxetine, another SSRI, is effective in treating PTSD. It improves mood, reduces intrusive memories, and supports long-term symptom management.
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