When the nurse is not informed of developmental and cultural ...

[Zoey63294]

When the nurse is not informed of developmental and cultural issues related to his or her client's background, which of the following may be expected?
 
  A) Normal patterns of behavior may be labeled as deviant, immoral, or insane.
  B) The meaning of the client's behavior can be derived from conventional wisdom.
  C) The nurse should rely on personal values and standards.
  D) The nurse should request a change of assignment.

Question 2

After complaining of weakness and confusion while at school, a 16-year-old girl was admitted to the hospital where admission assessments revealed hypokalemia. The girl's friends and family strongly suspect that she has bulimia nervosa.
 
  In planning her nursing care and treatment, which of the following outcomes should be prioritized?
 
  A) The client will verbalize fears relating to her health needs.
  B) The client will acknowledge self-harm thoughts.
  C) The client will be free of self-induced vomiting.
  D) The client will identify alternatives to current coping patterns.

[lgoldst9]

Answer to Question 1

Ans: A
If the nurse does not remain culturally sensitive, it is possible that symptoms or behaviors that are observed might be misinterpreted as deviant or immoral. Client behavior is always based upon client history and cultural background; understanding of behavior cannot be obtained simply from conventional wisdom.

Answer to Question 2

Ans: C
The client's self-induced vomiting is the direct cause of her present health crisis. There is no evidence of fear or deliberate self-harm in this client's case. The client likely has ineffective coping skills, but the immediacy of the need to prevent any subsequent vomiting supersedes her need to develop new coping skills.