A novice nurse has identified impaired verbal communication for an older Asian client who recently immigrated to the United States, based on the client's reluctance to maintain eye contact and engage in a conversation with the staff. Which of the following would be an appropriate response by the nurse mentor to ensure that the nursing diagnosis is correct.
"Have you noticed the client communicating differently with family when they visit?"
"Do you think that the client's cultural traditions have an influence on their communication behaviors?"
"Have you asked the client why communication is difficult for them?"
"Could you be misdiagnosing common shyness for a communication issue?"
The Correct Answer is B
A. Observing the client's communication with family might provide some insight but does not directly address the cultural influences on the client’s behavior.
B. Understanding the cultural background is crucial as cultural norms and traditions can significantly influence communication behaviors, such as eye contact and engagement.
C. Asking the client directly might be appropriate but does not take into account potential cultural factors that could influence their communication.
D. Misdiagnosing shyness as a communication issue could be a concern, but recognizing cultural influences helps to ensure that the diagnosis is culturally appropriate.
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Related Questions
Correct Answer is C
Explanation
A. While knowing previous knowledge and interest is useful, the priority is to ensure that the client can understand the educational materials.
B. Willingness to participate is important but secondary to ensuring that the material is accessible to the client.
C. Determining the client's ability to read and understand English is crucial as it affects their ability to comprehend pamphlets. If they cannot read or understand English, alternative methods of education should be used.
D. Readiness to learn is important but presupposes that the material can be understood; therefore, assessing language comprehension is a priority.
Correct Answer is C
Explanation
A. Health insurance coverage is important but may not address immediate financial barriers to accessing care.
B. Access to transportation is a logistical concern but may be secondary to the immediate financial constraints affecting medication and treatment affordability.
C. Ability to afford out-of-pocket expenses is crucial as it directly impacts the client's access to necessary medications and treatments, which is essential for effective care.
D. Community resources and financial assistance are valuable but are more secondary compared to addressing the immediate financial barriers to medications and treatments.
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