When assessing a client from a culture different from that of the ...

[vHAUNG6011]

When assessing a client from a culture different from that of the nurse, which of the following is an effective approach to meet the goal of cultural sensitivity?
 
  1. Ask the client how he or she is alienated from his or her primary cultural group.
  2. Determine what aspects of the client's life should be preserved as they are.
  3. Explain to the client that values must be adjusted to reach a healthy state.
  4. Teach the client how to assimilate into the dominant culture.

Question 2

An 84-year-old woman with a diagnosis of dementia lives with her daughter and son-in-law.
 
  The client's daughter tearfully tells the nursing student that she does not know what's wrong with her mother, who has begun accusing them of stealing her lingerie and keeping her prisoner. Based on the above, the nursing student identifies the following nursing diagnosis for the client: 1. Disturbed Thought Processes.
  2. Defensive Coping.
  3. Powerlessness.
  4. Ineffective Coping.

[leahm14]

Answer to Question 1

2
Rationale: Cultural sensitivity is the process of increasing professional effectiveness through understanding, respecting, and appreciating the importance of cultural factors in the delivery of health services. Asking the client how he or she is alienated, teaching the client to assimilate, and explaining that the client's values have to be changed are ethnocentric strategies and not supportive.

Answer to Question 2

1
Rationale: Based on the assessment data, an appropriate nursing diagnosis for a client who is experiencing delusions and paranoid ideation is Disturbed Thought Processes. Powerlessness, Ineffective Coping, and Defensive Coping are nursing diagnoses more appropriate for addressing care for clients with depressive disorders or substance abuse.