The nurse is discussing risk factor modification with a client diagnosed with hypertension. Which client statement does the nurse recognize as representing an external locus of control?

Correct Answer: C

Rationale: The correct answer is C because the statement reflects an external locus of control, where the client believes that their fate is predetermined by external factors rather than being under their control. This mindset can hinder motivation to make positive changes. Choice A focuses on the consequences of hypertension, not control. Choices B and D are incomplete and do not indicate a locus of control. Therefore, C is the correct answer as it demonstrates a lack of belief in personal control over health outcomes.

Correct Answer: D

Rationale: The correct answer is D: Collaborate with the client and health care team to assess safety and potential interactions. This answer promotes a patient-centered approach by acknowledging the client's cultural practice while ensuring safety. By collaborating with the client and healthcare team, the nurse can gather information about the specific herbal remedies being used, assess potential interactions with prescribed medications, and develop a plan that integrates both herbal remedies and conventional treatments effectively. This approach respects the client's autonomy and cultural beliefs while prioritizing safety and well-being. Choice A is incorrect because it dismisses the client's cultural practice without exploring potential benefits or risks. Choice B suggests seeking guidance from a traditional herbalist, which may not always align with evidence-based practice or prioritize patient safety. Choice C is incomplete and does not provide a clear strategy for incorporating herbal remedies into the plan of care.

Correct Answer: B

Rationale: The correct answer is B: To promote cultural sensitivity and understanding of the client's needs in the health care setting. Conducting a cultural assessment helps the nurse understand the client's unique cultural background, beliefs, and preferences. This understanding allows the nurse to provide care that respects and aligns with the client's cultural values, leading to better communication, trust, and outcomes. Option A only focuses on language barriers, which is a limited aspect of cultural assessment. Option C is dismissive of the client's feelings and does not promote a therapeutic relationship. Option D, while important, is a step beyond the initial aim of cultural assessment, which is to establish a foundation of understanding and respect for the client's cultural context.

Correct Answer: A

Rationale: The correct answer is A because incorporating the client's spiritual practice in the care plan demonstrates empathy and respect for their individuality and life experience. It shows the nurse values the client's beliefs, fostering trust and a therapeutic relationship. Choice B is incorrect as it implies a compromise rather than genuine understanding. Choice D is incorrect as it suggests disregarding the client's cultural practices, which is not aligned with providing holistic care.

Correct Answer: C

Rationale: The correct answer is C: Cultural skill. According to the Campinha-Bacote model, cultural skill involves the ability to collect relevant cultural data and perform a culturally based physical assessment to provide culturally congruent care. In this scenario, the nurse needs to have the skill to understand the client's need for accessible formats due to visual impairment. Cultural competence (A) involves valuing diversity and respecting cultural differences, but it doesn't directly address the specific skill needed to provide information in accessible formats. Cultural awareness (B) focuses on self-examination of one's own biases and beliefs, which is important but not the primary consideration in this case. Cultural desire (D) refers to the motivation to engage in the process of becoming culturally aware and competent, which is important but doesn't directly address the skill needed to provide information in accessible formats.