The nurse is caring for a newly admitted client.
Which intervention is the best example of a culturally appropriate nursing intervention?
Insist family members provide most of the client’s personal care.
Maintain a personal space of at least 2 feet when assessing the client.
Ask permission before touching a client during the physical assessment.
Consider the client’s ethnicity as the most important factor in planning care.
The Correct Answer is C
Choice A rationale
Insisting that family members provide most of the client’s personal care may not be culturally appropriate. It may place undue burden on the family and may not respect the client’s autonomy or preferences.
Choice B rationale
Maintaining a personal space of at least 2 feet when assessing the client may not be culturally appropriate. Different cultures have different norms and expectations about personal space, and this distance may be seen as too distant or impersonal in some cultures.
Choice C rationale
Asking permission before touching a client during the physical assessment is a culturally appropriate nursing intervention. It shows respect for the client’s personal space and autonomy, and acknowledges cultural differences in norms about touch.
Choice D rationale
Considering the client’s ethnicity as the most important factor in planning care is not a culturally appropriate nursing intervention. While a client’s ethnicity can influence their health beliefs and behaviors, it is only one aspect of their identity and should not be the sole basis for planning care. Hildegard Peplau Hildegard Peplau Explore
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Weight loss clinics are an example of active health promotion strategies. They require the individual to take an active role in changing behaviors or habits to improve their health.
Choice B rationale
Smoking cessation classes also fall under active health promotion strategies. These classes require the individual to actively participate and make a conscious effort to quit smoking.
Choice C rationale
Meditation courses are another example of active health promotion strategies. The individual must actively engage in learning and practicing meditation techniques to improve mental health.
Choice D rationale
The addition of folic acid to cereals is a passive health promotion strategy. Passive strategies are those in which individuals gain from the activities of others without acting themselves. The fortification of foods with essential nutrients is a common passive health promotion strategy.
Correct Answer is D
Explanation
Choice D rationale
Cheyne-Stokes respirations, a pattern of breathing characterized by a gradual increase in depth and sometimes in rate to a maximum depth, followed by a decrease resulting in apnea, are commonly observed in patients nearing the end of life.
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