A nurse in a community clinic is caring for a female client who is Muslim. Which of the following actions should the nurse take?

Encourage cultural practices to be incorporated into their care.

Incorporate hot and cold practices into the client's care.

Acknowledge that the client may be cared for by a male provider.

Have the client remove any face coverings to obtain their history.

Answer and Explanation

The Correct Answer is A

Rationale:
A. Encourage cultural practices to be incorporated into their care: Respecting and incorporating a Muslim client’s cultural and religious practices promotes culturally competent and patient-centered care. This approach fosters trust, comfort, and cooperation between the client and healthcare team.

B. Incorporate hot and cold practices into the client's care: Hot and cold theory is typically associated with Hispanic, Asian, and Middle Eastern folk medicine traditions, but not all Muslim clients follow this practice. Care should be based on the client’s individual beliefs.

C. Acknowledge that the client may be cared for by a male provider: Many Muslim women prefer to be cared for by female providers due to religious and cultural values of modesty. The nurse should make reasonable efforts to accommodate this preference whenever possible.

D. Have the client remove any face coverings to obtain their history: Muslim women who wear a niqab or hijab may choose to keep their face covered for modesty. The nurse should not insist on removal unless necessary for identification or assessment, and even then, it should be done privately with sensitivity to religious beliefs.

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Correct Answer is D

Explanation

Rationale:
A. Advise the adolescent to place the newborn for adoption: Suggesting adoption may be perceived as judgmental and does not address the adolescent’s immediate concern about accessing resources and caring for the baby.

B. Refer the adolescent to a local mental health clinic: While emotional support can be beneficial, referral to mental health services alone does not address practical concerns about affording and caring for the baby. Immediate assistance with resources is a priority.

C. Contact the adolescent's parent for assistance: Confidentiality and the adolescent’s autonomy must be respected unless there is a safety concern. The nurse should not contact parents without the adolescent’s consent.

D. Assist the adolescent in applying for Medicaid: Helping the adolescent apply for Medicaid directly addresses her concerns about affording prenatal care and infant needs. This action provides practical support, empowers her to access healthcare and resources, and promotes positive maternal and fetal outcomes.

A. "Store and eat luncheon deli meats cold while pregnant." B. "Wash all fruits thoroughly before consumption during pregnancy." C. "Consumption of raw fish is safe during pregnancy if done in moderation." D. "Food-borne illnesses are more difficult to contract while pregnant."

Correct Answer is B

Explanation

Rationale:
A. "Store and eat luncheon deli meats cold while pregnant.": Cold deli meats can harbor Listeria monocytogenes, which can cause listeriosis and increase the risk of miscarriage or fetal infection. Pregnant clients should heat deli meats until steaming before consumption to reduce this risk.

B. "Wash all fruits thoroughly before consumption during pregnancy.": Washing fruits removes dirt, bacteria, and potential contaminants such as Listeria or Toxoplasma, reducing the risk of food-borne illness. This is a key preventive measure for maintaining maternal and fetal health.

C. "Consumption of raw fish is safe during pregnancy if done in moderation.": Raw fish can contain parasites and bacteria such as Salmonella, or Toxoplasma. Pregnant clients should avoid raw or undercooked fish entirely to prevent serious infections that can harm the fetus.

D. "Food-borne illnesses are more difficult to contract while pregnant.": Pregnancy actually increases susceptibility to certain food-borne illnesses due to immunologic changes. Pregnant clients should follow strict food safety measures to protect both maternal and fetal health.

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A nurse in a community clinic is caring for a female client who is Muslim. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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