A community health nurse is caring for a client in a culturally diverse community. Which of the following actions demonstrates accurate cultural knowledge about a specific cultural group?
Touching the hair of an African American client during an assessment
Offering to shake hands when meeting an Asian client of the opposite gender
Maintaining eye contact when interviewing a Native American client
Including both hot and cold food items on a Hispanic client's menu
The Correct Answer is D
Choice A reason: Touching the hair of an African American client during an assessment does not demonstrate accurate cultural knowledge, as it may be considered disrespectful or intrusive. Hair is a sensitive and personal topic for many African Americans, who may have experienced discrimination or stigma based on their hair texture or style¹. The nurse should ask for permission before touching the client's hair and explain the purpose of the assessment.
Choice B reason: Offering to shake hands when meeting an Asian client of the opposite gender does not demonstrate accurate cultural knowledge, as it may be considered inappropriate or offensive. In some Asian cultures, physical contact between men and women who are not related or married is discouraged or prohibited². The nurse should observe the client's body language and follow the client's lead in greeting gestures.
Choice C reason: Maintaining eye contact when interviewing a Native American client does not demonstrate accurate cultural knowledge, as it may be considered rude or aggressive. In some Native American cultures, eye contact is a sign of disrespect or challenge, especially when talking to elders or authority figures³. The nurse should avoid direct eye contact and use a respectful tone of voice when interviewing the client.
Choice D reason: Including both hot and cold food items on a Hispanic client's menu demonstrates accurate cultural knowledge, as it reflects the concept of balance and harmony in Hispanic culture. Many Hispanics believe that health and illness are influenced by the balance between hot and cold forces in the body and the environment⁴. The nurse should respect the client's food preferences and beliefs and provide a variety of food options.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Implementing a disaster triage plan with a local medical facility is not an action that the nurse is engaging in disaster preparedness efforts. This is an action that the nurse is engaging in disaster response efforts, which are the actions taken during or immediately after a disaster to save lives, minimize injuries, and protect property.
Choice B reason: Functioning as a manager at a temporary shelter is not an action that the nurse is engaging in disaster preparedness efforts. This is an action that the nurse is engaging in disaster recovery efforts, which are the actions taken after a disaster to restore the normal functioning of the community and the environment.
Choice C reason: Assisting with the identification of a biological agent is not an action that the nurse is engaging in disaster preparedness efforts. This is an action that the nurse is engaging in disaster mitigation efforts, which are the actions taken before, during, or after a disaster to reduce or eliminate its impact.
Choice D reason: Organizing a mass casualty drill for community members is an action that the nurse is engaging in disaster preparedness efforts. This is an action that the nurse is engaging in disaster prevention efforts, which are the actions taken before a disaster to prevent or minimize its occurrence or effects. A mass casualty drill is a simulation exercise that tests the readiness and capacity of the health care system and the community to respond to a large-scale emergency.
Correct Answer is ["A","B","E"]
Explanation
Choice A reason: You should avoid sexual contact until therapy is complete. This is to prevent the transmission of the infection to others, and to avoid reinfection or complications. The usual treatment for chlamydia is a single dose of an antibiotic, such as azithromycin or doxycycline. You should abstain from sexual activity for at least 7 days after taking the medication.
Choice B reason: Notify anyone with whom you have had sexual contact over the past 2 months. This is to inform them of their possible exposure to the infection, and to encourage them to get tested and treated if necessary. Chlamydia is a sexually transmitted infection that can cause pelvic inflammatory disease, infertility, ectopic pregnancy, and neonatal complications. It can also increase the risk of acquiring or transmitting other STIs, such as HIV.
Choice C reason: You will need to take an antiviral medication for 30 days. This is not a correct information that the nurse should include in the teaching. Chlamydia is a bacterial infection, not a viral infection. Antiviral medications are not effective against chlamydia, and are not indicated for its treatment.
Choice D reason: Once you complete treatment, you will have an acquired immunity against chlamydia. This is not a correct information that the nurse should include in the teaching. Chlamydia does not confer immunity, and you can get infected again if you are exposed to the bacteria. You should get tested for chlamydia at least once a year, or more often if you have multiple or new sexual partners.
Choice E reason: You might experience painful urination until the infection has resolved. This is a correct information that the nurse should include in the teaching. Chlamydia can cause inflammation and irritation of the urethra, which can result in dysuria, or painful or difficult urination. Other symptoms of chlamydia may include abnormal vaginal or penile discharge, lower abdominal pain, bleeding between periods, or pain during sex. However, some people may not have any symptoms, and may not know they are infected. Therefore, it is important to get tested regularly and to use condoms to prevent the spread of the infection.
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