An African American youth, growing up in an impoverished neighborhood, presents in the emergency department with bruises to his face, chest, and arms. He appears to be upset, is speaking in a dialect that is difficult for the nurse to understand, and is standing within 6 inches of the nurses personal space. What cultural consideration should a nurse identify as playing a role in this youths behavior?

Correct Answer: D

Rationale: The correct cultural consideration that the nurse should identify as playing a role in this youth's behavior is that some African Americans speak in a dialect that is different from standard English and tend toward smaller personal space than that of the dominant culture. It is important for healthcare providers to recognize and respect cultural differences, such as variations in language and personal space preferences, when interacting with patients from diverse backgrounds. In this case, the youth's use of a dialect the nurse finds difficult to understand and standing within close proximity may be reflective of his cultural norms and should not be misinterpreted as aggression or intimidation. Understanding and acknowledging cultural differences can help build trust and rapport between healthcare providers and patients, leading to more effective and culturally competent care.

Correct Answer: A

Rationale: In traditional Asian cultures, mental illness may be viewed as bringing shame and dishonor to the family. Seeking outside help for mental health issues can be seen as weakness and may be stigmatized. This can lead to a reluctance to seek professional help and a preference for keeping mental health issues within the family. Additionally, there may be a belief that mental illness is due to personal weakness or lack of self-control, rather than a medical condition that can be treated. This cultural perception can influence how an Asian American client may approach mental health treatment and may impact their willingness to engage in therapy or accept mental health diagnoses.

Correct Answer: D

Rationale: The most appropriate nursing intervention when establishing a therapeutic relationship with a grieving family from China would be to remain objective and empathetic, as Asians generally do not express feelings freely. In Chinese culture, it is common for individuals to be reserved when it comes to displaying their emotions, especially in front of strangers or in formal settings. Therefore, it is important for the nurse to be sensitive to this cultural trait and to offer support and empathy without expecting the family members to openly express their feelings. By remaining objective and empathetic, the nurse can create a safe and supportive environment that allows the family to express themselves in their own time and in their own way.

Correct Answer: A

Rationale: Before forming a therapeutic relationship with a client, a nurse must first clarify their own personal attitudes, values, and beliefs. This is crucial because the nurse's own biases and perspectives can impact how they interact with the client and provide care. By recognizing and understanding their own values and beliefs, the nurse can work towards setting them aside during interactions with clients in order to provide unbiased and effective care. This self-awareness is key to establishing a trusting and therapeutic relationship with clients, as it allows the nurse to approach each client as an individual with unique needs and concerns.

Correct Answer: B

Rationale: During the preinteraction phase of the nurse-client relationship, the nurse's primary goal is to establish trust and formulate a contract for intervention. This phase involves preparing for the initial meeting with the client, gathering information about the client's background and history, and beginning to establish a therapeutic relationship. By focusing on establishing trust and formulating a contract for intervention, the nurse sets the foundation for a positive and effective therapeutic relationship with the client. This helps create a safe and respectful environment for the client to engage in the therapeutic process and work towards achieving their goals.