The nurse is planning to conduct a physical assessment with a ...

[Starlight]

The nurse is planning to conduct a physical assessment with a client from a different culture. What is the best way for the nurse to show cultural sensitivity when addressing the personal questions required of the nursing history?
 
  1. Break the assessment into shorter intervals and discuss general topics first.
  2. Thoroughly explain the reason for asking many questions before beginning the assessment.
  3. Pick a time when the family is present and can help with the admission assessment questions.
  4. Wait until the nurseclient relationship has been established.

Question 2

A newly immigrated client is constantly attended to by family members. This has presented a problem to the nursing staff and the delivery of nursing care. In order to address this issue in a culturally sensitive manner, the nurse should take which action?
 
  1. Explain to the client that he has to limit visitors.
  2. Evaluate the benefits of family participation in the client's care.
  3. Question the family members as to how they see their interaction with the client.
  4. Have the physician limit the number of visitors the client can have.

[Anna]

Answer to Question 1

Correct Answer: 1
Rationale 1: Clients may be offended when the nurse immediately asks personal questions. In some cultures, courtesies should be established before business or personal topics are discussed. Discussing general topics can convey that the nurse is interested and has time for the client. This enables the nurse to develop a rapport with the client before progressing to discussion that is more personal.
Rationale 2: Even if the explanation is given, clients from some cultures may still find questions of a personal nature offensive so early in the nurseclient association.
Rationale 3: The sensitive issue is not necessarily one of language or communication barriers.
Rationale 4: Waiting to complete the assessment is not a good idea as there is certain, initial information that needs to be collected from the client.

Answer to Question 2

Correct Answer: 2
Rationale 1: Telling the client he has to limit visitors or having the physician do this may be in conflict with cultural values and is not helpful to the client.
Rationale 2: Cultural family values may dictate the extent of the family's involvement in the hospitalized client's care. In some cultures, the entire community may want to visit and participate in the client's care. The nurse should evaluate the positive benefits of family participation in the client's care and modify visiting policies as appropriate.
Rationale 3: It would be more appropriate to question the client, not the family members, about the positive benefits of the family interactions because the family members are obviously supportive of their presence.
Rationale 4: This is a nursing issue and should be managed by the nurse.

[Starlight]

Gracias!

[scottmt]

TYSM