The experience of being physically restrained can be traumatic. Which nursing intervention would best help the client deal with this experience?

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Question 1 of 5

The experience of being physically restrained can be traumatic. Which nursing intervention would best help the client deal with this experience?

Correct Answer: B

Rationale: The most appropriate nursing intervention to help a client deal with the traumatic experience of being physically restrained is to talk to the client at brief but regular intervals while they are restrained (Option B). This intervention helps maintain communication and a sense of connection with the client, offering support and reassurance during a potentially distressing situation. By engaging with the client regularly, the nurse can provide comfort, monitor the client's well-being, and assess their needs. It also helps prevent feelings of isolation or abandonment that can exacerbate the trauma associated with being restrained. Administering tranquilizers before applying restraints (Option A) is not the best approach as it can have sedative effects that may not be necessary or beneficial for the client. Leaving the client alone most of the time (Option C) and checking on the client infrequently (Option D) are not recommended as they can increase feelings of distress and helplessness in the client.

Question 2 of 5

A Latino American man refuses to acknowledge responsibility for hitting his wife, stating instead, Its the mans job to keep his wife in line. Which cultural belief may be associated with this clients behavior?

Correct Answer: A

Rationale: The behavior described by the Latino American man of refusing to acknowledge responsibility for hitting his wife and stating that it's the man's job to keep his wife in line is reflective of a cultural belief associated with traditional Latino American families. In many Latino American cultures, there is a strong emphasis on male dominance within the family structure, with clear male-female role distinctions. This belief system can lead some individuals to justify violence or control over their partner as a way of asserting dominance or maintaining traditional gender roles within the family. It is important to recognize and address these cultural beliefs in order to provide effective intervention and support for individuals experiencing domestic violence within Latino American communities.

Question 3 of 5

In what way should a nurse expect a traditional Asian American client to view mental illness?

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.

Question 4 of 5

A nurse is preparing to establish a therapeutic relationship with a grieving family from China. Which nursing intervention would be considered most appropriate?

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.

Question 5 of 5

What is the most essential task for a nurse to accomplish prior to forming a therapeutic relationship with a client?

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.

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