A pregnant teenage client asks a community health nurse (CHN) to provide information on abortions and a list of health care providers who offer abortion services. The CHN has very strong personal beliefs against abortion that would get in the way of helping the client. What should the CHN do?

Correct Answer: A

Rationale: The correct answer is A: Call in another CHN to care for this client. The CHN's personal beliefs should not interfere with providing nonjudgmental care. By calling in another CHN, the client can receive unbiased information and support. This respects the client's autonomy and ensures they receive the information they requested without feeling judged. Option B is incorrect because imposing personal beliefs on the client is unethical and goes against the principle of client-centered care. Option C is inappropriate and unethical as it involves offering medication to induce an abortion without the client's consent. Option D is not the best choice as it does not address the client's specific request for information on abortion services.

Correct Answer: B

Rationale: The correct answer is B: A feminist ethic of care. Gilligan and Noddings both advocate for an ethic of care that prioritizes relationships and interconnectedness. This approach focuses on empathy, compassion, and understanding in moral decision-making. It differs from distributive justice (A), which is about fairness in distribution, a principled approach (C) that relies on rules and principles, and virtue ethics (D), which emphasizes developing moral character. The feminist ethic of care aligns with their emphasis on relational ethics and the importance of caring for others in ethical considerations.

Correct Answer: A

Rationale: The correct answer is A: Cultural sensitivity. This is because the nurse demonstrated an understanding and respect for the cultural norms and beliefs of his Iranian clients by adjusting his behavior to avoid causing offense. Cultural sensitivity involves being aware of and respecting the differences in cultural practices and beliefs. Choice B, cultural awareness, is not the best answer because it implies a general understanding of different cultures but doesn't specifically address the nurse's adaptation of behavior. Choice C, cultural knowledge, is also not the best answer as it focuses more on factual information about a culture rather than the practical application of that knowledge. Choice D, cultural skill, is not the best answer as it typically refers to the ability to effectively communicate and interact with individuals from different cultures, rather than the specific act of changing behavior to accommodate cultural preferences.

Correct Answer: D

Rationale: The correct answer is D: Finding an interpreter to translate. This is the most appropriate action because it ensures effective communication, maintains confidentiality, and promotes culturally sensitive care. Step 1: Attempting communication using an English-Spanish phrase book (Choice A) may lead to misunderstandings and can compromise the quality of care. Step 2: Calling the local hospital and arranging a referral (Choice B) is not necessary at this stage and may cause unnecessary delays. Step 3: Emphatically stating "No hablo Español" (Choice C) does not solve the communication barrier and may come across as insensitive. Step 4: Finding an interpreter (Choice D) ensures accurate communication, allowing the family to fully participate in decision-making and understand their health care needs.

Correct Answer: C

Rationale: The best screening question to ask first when inquiring about a client's sexuality is "Do you have sex with men, women or both?" because it allows for an open-ended response and provides the client with the opportunity to self-identify their sexual orientation without assumptions or constraints. This question is inclusive of diverse sexual orientations and preferences, ensuring that the client's unique experiences are acknowledged and respected. Options A and D are limiting as they assume a binary view of relationships and may not accurately capture the client's sexual orientation. Option B is too specific and may not consider other aspects of the client's sexuality beyond recent sexual activity.