Author Question: The nurse cares for a client in a community health clinic. The nurse is uncomfortable because the ... (Read 88 times)

joblessjake · **on:** Jul 8, 2018

The nurse cares for a client in a community health clinic. The nurse is uncomfortable because the client remains very close when communicating. This discomfort makes it difficult to concentrate on the interview.

When the nurse backs away, the client stops speaking and leaves. This is an example of:
A) Differing views of personal space
B) Treatment limitation
C) Aggressive behavior
D) Cultural bias

Question 2

A client, diagnosed with hypertension, is prescribed a no-added-salt, low-fat diet. He agrees and repeats the teaching principles. At the next visit, the nurse notices salted meat on the counter and the client shows the nurse his food diary.

The diet in the past week does not reflect the physician's orders. What cultural component may have contributed to the noncompliance with the diet order?
A) Diet may be too lean
B) Wife cooks according to the husband's preferences
C) Diet may not meet the cultural criteria for food choices
D) Food tastes bland and unappetizing

anoriega3 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Ans: A
Feedback:
Nonverbal language varies significantly with culture, and misinterpretation of body language, including use of personal space, can lead to clinical misunderstandings. Clients from cultures in which people normally stand close together (e.g., Italian and many Latin American cultures) may feel that a nurse who sits or stands further away is cold and unfriendly. However, people from a Nordic-influenced culture may be more comfortable with larger spaces between people.

Answer to Question 2

Ans: C
Feedback:
What and how people eat varies tremendously among cultures, the understanding of which is crucial to good nursing care. A nurse educating a client who is newly diagnosed with diabetes or hyperlipidemia about dietary restrictions will be much more effective if he or she chooses examples that resonate with that particular client. Although the diet could be too lean or bland and unappetizing or the wife might cook according to the husband's preferences, these are not cultural components.