The nurse is caring for a Hispanic client. When communicating ...

[Kikoku]

The nurse is caring for a Hispanic client. When communicating with the client's family about the client's illness, which family member should the nurse contact?
 
  a. Oldest female family member
  b. Oldest male family member
  c. Oldest daughter of client
  d. Oldest son of client

Question 2

The nurse is performing an admission assessment on an Asian client. The intake includes a cultural assessment. The nurse should ask the client,
 
  a. Does a minister, priest, or rabbi visit you?
  b. Do you feel understood and loved?
  c. What language do you prefer to speak?
  d. Does life have meaning and value for you?

[canderson530]

Answer to Question 1

ANS: B
Hispanics are an extroverted people who value interpersonal relationships. Hispanic clients trust feelings more than facts. Strict rules govern social relationships (respecto), with higher status being given to older individuals, and to male over female individuals. Nurses are viewed as authority figures, to be treated with respect. Clients hesitate to ask questions, so it is important to ask enough questions to ensure that clients understand their diagnosis and treatment plan.

Answer to Question 2

ANS: C
A cultural assessment is defined as a systematic appraisal of beliefs, values, and practices conducted to determine the context of client needs and to tailor nursing interventions. It is composed of three progressive, interconnecting elements: (1) a general assessment; (2) a problem-specific assessment; and (3) the cultural details needed for successful implementation. Asking about visits from a spiritual leader would be part of the spiritual assessment. Feelings and value of life do not assess cultural issues.