A nurse who works in a large, urban hospital provides care for a ...

[KWilfred]

A nurse who works in a large, urban hospital provides care for a diverse client population. When performing integumentary (skin) assessments, the nurse modifies assessment practices for certain clients in order to identify clinically meaningful data.
 
  This practice is most justified by the fact that clients differ according to A) Race
  B) Ethnicity
  C) Culture
  D) Preference

Question 2

A nurse is caring for an Asian American client immediately postpartum. As the client seems exhausted after delivery, the nurse offers her warm milk to drink.
 
  The client refuses, saying that her cultural belief does not permit her to have any food before 24 hours have passed. What is the most appropriate response by the nurse? A) Put in an IV and start intravenous fluid to avoid dehydration.
  B) Call the nurse supervisor and inform her about the client.
  C) Tell the client that her beliefs are misguided and she needs to have food.
  D) Describe the importance of the mother's nutritional status for lactation.

[Cnarkel]

Answer to Question 1

A
Feedback:
Race (biologic variations) is a term used to categorize people with genetically shared physical characteristics. The biological variations necessitate differences in skin assessment, both in terms of technique and interpretation of results. Ethnicity and culture are psychosocial concepts that certainly have relationships to race, but neither specifically warrants changes in integumentary assessments.

Answer to Question 2

D
Feedback:
The nurse should respect the client's cultural beliefs and explain the importance of the nutritional status for the mother's, as well as the baby's, health. IV fluids are given only when the client cannot take food orally. Informing the nurse supervisor is inappropriate and irrelevant. Telling the client that her beliefs are wrong and she needs to have food devalues the client's beliefs.

[KWilfred]

TYSM

[nyrave]

Excellent