A nurse is conducting a health assessment of a client who belongs to an indigenous community. The nurse notices that the client avoids eye contact and speaks in a low voice. How should the nurse interpret these behaviors?

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Question 1 of 5

A nurse is conducting a health assessment of a client who belongs to an indigenous community. The nurse notices that the client avoids eye contact and speaks in a low voice. How should the nurse interpret these behaviors?

Correct Answer: B

Rationale: The nurse should interpret these behaviors as expressions of deference and respect, as some indigenous cultures consider direct eye contact and loud speech to be rude or aggressive, especially when interacting with authority figures or strangers.

Question 2 of 5

A nurse is planning care for a client who follows a vegan diet for religious reasons. Which intervention should the nurse include in the plan of care?

Correct Answer: A

Rationale: The nurse should assess the client's nutritional status and dietary intake, as this can help to identify any nutritional deficiencies or imbalances that may affect the client's health and recovery. The nurse should also respect the client's dietary preferences and provide them with appropriate food choices that meet their nutritional needs and religious beliefs.

Question 3 of 5

A nurse is providing discharge instructions to a client who has limited English proficiency. The client is accompanied by their adult son, who speaks both English and the client's native language. What is the best way for the nurse to ensure effective communication and education with the client?

Correct Answer: D

Rationale: The nurse should use a professional interpreter, preferably one who is trained and certified in health care, to ensure accurate, clear, and culturally appropriate communication and education with the client. A professional interpreter can also help to maintain the client's privacy, confidentiality, and dignity.

Question 4 of 5

A nurse is providing discharge teaching to a client who has type 2 diabetes mellitus and follows a vegetarian diet. Which of the following food choices should the nurse recommend as a good source of protein for the client?

Correct Answer: A

Rationale: Tofu is a good source of protein for clients who follow a vegetarian diet, as it is made from soybeans, which are high in protein and low in saturated fat and cholesterol. Tofu can also help lower blood glucose levels, as it has a low glycemic index and can improve insulin sensitivity.

Question 5 of 5

A nurse is caring for a client who is Muslim and observes Ramadan. The client is scheduled to undergo a surgical procedure in the morning. Which action by the nurse demonstrates cultural sensitivity?

Correct Answer: B

Rationale: The nurse demonstrates cultural sensitivity by informing the client that they can break their fast for medical reasons, as this is an exception that is allowed in Islam. The nurse should respect the client's religious beliefs and practices, but also provide accurate and relevant information that may affect their health and safety, especially given the surgical context requiring fasting for anesthesia safety.

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