The nurse is interviewing a client and wishes to determine health ...

[rosent76]

The nurse is interviewing a client and wishes to determine health practices that are important to the client's beliefs. Which statement would be appropriate for the nurse to use to obtain this information?
 
  1. Do you use any nontraditional medicine?
  2. Tell me what you do to try to improve your health.
  3. How many times have you been sick in your life?
  4. Do you have medical insurance?

Question 2

The nurse manager is preparing for an accreditation visit and wants to assure that the unit is delivering culturally appropriate health care. Which action would demonstrate this approach by the nurse manager?
 
  1. Insisting the staff teaches clients English during their hospitalization.
  2. Examining the process used to admit clients.
  3. Providing written materials in languages spoken most commonly by clients admitted to the unit.
  4. Limiting education and training to the bedside nurses.

[nyrave]

Answer to Question 1

Correct Answer: 2

The nurse should use open-ended questions when interviewing clients. This choice provides direction for the client, and allows verbalization of information to clarify health beliefs for the nurse. Asking about nontraditional medicine practices, how many times the client has been ill over a lifetime, and whether the client has medical insurance are too focused for the data the nurse is seeking.

Answer to Question 2

Correct Answer: 3

The National Standards for Culturally and Linguistically Appropriate Services in Healthcare outlines 14 valid approaches for health care to assure that cultural competency is provided. Requiring English be taught to clients admitted to the hospital does not promote the value of other cultures and promotes a sense of ethnocentrism. The process used to admit clients may be included in the road to accreditation but does not directly address the delivery of culturally responsible care. Nurses at the bedside require education to maintain competency and learn new skills.

[rosent76]

Excellent

[aruss1303]

TYSM