Answer to Question 1
Correct Answer: 2
Rationale 1: Regardless of cultural considerations, it's always necessary to make sure that the instructions are understood.
Rationale 2: The nurse needs to identify who has the authority to make decisions in a client's family. If the decision maker is someone other than the client, as in this situation, the nurse needs to include that person in health care discussions. In this situation, we do not know if the nurse is male or female, so the best answer given with the information that is known is to arrange for teaching when the spouse is available.
Rationale 3: This will not address the cultural issue of male dominance.
Rationale 4: This will not address the issue of male dominance.
Answer to Question 2
Correct Answer: 4
Rationale 1: In this case, the fever would be considered a hot illness and the client is not likely to select this treatment.
Rationale 2: In this case, the fever would be considered a hot illness and the client is not likely to select this treatment.
Rationale 3: In this case, the fever would be considered a hot illness and the client is not likely to select this treatment.
Rationale 4: The concept of yin and yang in the Chinese culture is an example of a holistic health belief. A Chinese client who has a yang illness, or a hot illness, may prefer a yin or cold treatment. In this case, the fever would be considered a hot illness and the client may prefer the opposite or yin treatment.