A nurse of a community clinic is preparing an educational guide about cultural variances in expression of pain. Which of the following information should the nurse include?
Middle Eastern cultural practices include hiding pain from close family members.
Native American cultural practices include being outspoken about pain.
Puerto Rican cultural practices include the view that outspoken expressions of pain are shameful.
Asian cultural practices include suppressing pain to avoid burdening others.
The Correct Answer is D
Choice A reason: Middle Eastern cultural practices do not necessarily include hiding pain from close family members. Some Middle Eastern cultures may express pain openly and seek support from family and friends, while others may prefer to endure pain stoically and privately.
Choice B reason: Native American cultural practices do not always include being outspoken about pain. Some Native American cultures may view pain as a natural part of life and a test of endurance, while others may seek relief from pain through traditional healing methods.
Choice C reason: Puerto Rican cultural practices do not always include the view that outspoken expressions of pain are shameful. Some Puerto Rican cultures may express pain loudly and dramatically, while others may use humor and distraction to cope with pain.
Choice D reason: Asian cultural practices often include suppressing pain to avoid burdening others. Many Asian cultures value harmony, collectivism, and self-control, and may perceive pain as a sign of weakness or dishonor. They may also believe that pain has a spiritual or karmic origin and should be accepted.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Removing fresh flowers from the client's home is not an action that the nurse should take when caring for a client who has MRSA. Fresh flowers do not pose a risk of transmitting MRSA, and may provide some psychological benefits for the client.
Choice B reason: Wearing a mask when within 3 feet of the client is not an action that the nurse should take when caring for a client who has MRSA. MRSA is not an airborne infection, and a mask is not necessary to prevent its spread. The nurse should wear gloves and a gown when in contact with the client or the client's environment, and perform hand hygiene before and after the contact.
Choice C reason: Encouraging the client to use a HEPA filter in the house is not an action that the nurse should take when caring for a client who has MRSA. A HEPA filter is not effective in removing MRSA from the air, and may not have any impact on the client's health. The nurse should educate the client on how to clean and disinfect the surfaces and items that may be contaminated with MRSA, such as bedding, towels, and personal items.
Choice D reason: Double bagging soiled dressings in polyethylene bags is an action that the nurse should take when caring for a client who has MRSA. This is a standard precaution to prevent the exposure of other people or the environment to the infectious material. The nurse should also label the bags as biohazardous waste and dispose of them according to the agency's policy.
Correct Answer is D
Explanation
Choice A reason: Discussing the benefits of eating a well-balanced diet with the client's family is not the first action that the nurse should take. This is an important intervention that can help the client and the family to improve their nutrition and reduce the risk of further complications, but it should be done after the nurse has assessed the family's coping and learning needs.
Choice B reason: Assisting the client and the client's partner with finding an affordable exercise program is not the first action that the nurse should take. This is an important intervention that can help the client and the partner to increase their physical activity and enhance their cardiovascular health, but it should be done after the nurse has evaluated the client's physical and functional status.
Choice C reason: Offering to accompany the client and the client's partner during health care provider visits is not the first action that the nurse should take. This is an important intervention that can help the client and the partner to receive support and guidance during the treatment process, but it should be done after the nurse has established rapport and trust with the family.
Choice D reason: Asking family members about the impact of the disease on relationships within the family is the first action that the nurse should take. This is based on the principle of family-centered care, which states that the nurse should recognize and respect the family as the primary source of support and care for the client. The nurse should ask open-ended questions, listen actively, and express empathy to the family members, and explore how the disease has affected their roles, responsibilities, emotions, and communication.
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