Time orientation within cultures can vary quite a bit. The client receiving a transplant will need to maintain a strict schedule of antirejection medications. The client states that he has never used a watch before, and his people do things when they know they should be done. An appropriate response by the nurse would be which of the following?
"You have to take these at a certain time, or you will die."
“Well, that's your prerogative. Here is the schedule. If you adhere to it, you'll be healthier."
“Tell me more about that. Let's talk about finding a method that will work for you."
"Here is the schedule Here is a watch. You take these three medications at 8 am, these four at noon, and these three,again, at 5 pm. At 10 pm. you have these five pills, and you will take them at 3 pm.”
The Correct Answer is C
“Tell me more about that. Let's talk about finding a method that will work for you" is an appropriate response by the nurse. The nurse is using a client-centered approach, which is important to ensure the client is involved in his own care. By asking the client to share more about his cultural perspective on time and finding a method that works for him, the nurse is providing individualized care and encouraging the client to take an active role in his treatment plan.
The other options may be seen as dismissive, threatening, or too rigid, which can negatively impact the therapeutic relationship and the client's adherence to the medication regimen.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
According to Maslow's hierarchy of needs, all people have basic human needs that must be fulfilled in order to achieve self-actualization and reach their full potential.
These basic human needs include physiological needs such as air, water, food, and shelter; safety needs such as physical safety, emotional security, and financial stability; love and belonging needs such as the need for love, affection, friendship, and community; esteem needs such as the need for self-esteem, confidence, achievement, and respect from others; and self-actualization needs such as the need for personal growth, creativity, and fulfillment of one's potential.
Correct Answer is A
Explanation
The action by the nurse that best demonstrates cultural competence is asking the clients what matters most to them in their illness and treatment. This demonstrates respect for the clients' beliefs, values, and preferences, and acknowledges that healthcare is influenced by cultural factors. By asking the clients what matters most to them, the nurse can gain insight into their cultural practices, beliefs, and expectations, and use this information to provide care that is more meaningful and effective.
Telling the client that they should not continue taking herbs, asking if they utilize a shaman, or telling the clients to follow the provider's orders without regard for their cultural beliefs and practices can be disrespectful, dismissive, and may create a barrier to effective communication and care. Cultural competence requires understanding and respecting the cultural diversity of clients and incorporating this knowledge into the provision of care.
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