A nurse is working with a client who has a terminal illness and is considering hospice care. The client's family is opposed to this option and wants the client to continue aggressive treatment. The nurse learns that the client and the family are from a collectivistic culture that values family harmony and decision-making. What should the nurse do to facilitate ethical and culturally sensitive care?

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Question 1 of 5

A nurse is working with a client who has a terminal illness and is considering hospice care. The client's family is opposed to this option and wants the client to continue aggressive treatment. The nurse learns that the client and the family are from a collectivistic culture that values family harmony and decision-making. What should the nurse do to facilitate ethical and culturally sensitive care?

Correct Answer: D

Rationale: The nurse should respect the family's involvement and encourage open dialogue and negotiation among all parties, as this approach acknowledges the cultural value of family harmony while also ensuring the client's wishes are considered, promoting ethical and culturally sensitive care.

Question 2 of 5

A nurse is providing discharge instructions to a client who has limited health literacy. Which strategy should the nurse use to enhance culturally competent care?

Correct Answer: B

Rationale: The nurse should provide written materials that are at an appropriate reading level and use simple language, as this can help to improve the client's comprehension and retention of information, and reduce confusion and anxiety. The written materials should also be culturally relevant and sensitive, and include pictures, diagrams, or charts if possible.

Question 3 of 5

A nurse is planning a health promotion program for a group of clients who are refugees from Syria. The nurse wants to incorporate some culturally relevant strategies to enhance the clients' participation and engagement. What should the nurse do?

Correct Answer: D

Rationale: The nurse should use a variety of culturally relevant strategies to enhance the clients' participation and engagement in the health promotion program. Inviting a religious leader, including traditional Syrian dishes, and using Arabic words show respect for the clients' faith, culinary heritage, and language, building rapport and trust.

Question 4 of 5

A nurse is caring for a client who has recently immigrated from China and does not speak English. Which action by the nurse demonstrates cultural competence?

Correct Answer: A

Rationale: The nurse demonstrates cultural competence by using an interpreter to communicate with the client and family, ensuring that the information is conveyed accurately and respectfully, and that the client's preferences and needs are understood.

Question 5 of 5

Which statement by the nurse illustrates how a RN's patient assessment differs from the LPNs patient assessment?

Correct Answer: C

Rationale: The RN’s role involves comprehensive assessment and interpretation of patient data as a whole (C), unlike the LPN, who collects basic data for RN interpretation. Option A reverses roles, B limits RN duties to basic care (an LPN task), and D, while true, is not unique to RNs, as LPNs also report findings, making C the key differentiator.

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