When working with clients of any culture, which action should a nurse avoid?

Correct Answer: A

Rationale: Maintaining eye contact can be seen as disrespectful or confrontational in some cultures. It is important for a nurse to be aware of cultural differences and norms when working with clients from diverse backgrounds. While eye contact may be encouraged in some cultures as a sign of active listening and engagement, it may be perceived differently in others. It is essential for nurses to adapt their communication styles and practices to best accommodate the needs and preferences of the individual client, respecting their cultural beliefs and norms. Thus, avoiding assumptions and being culturally sensitive are crucial in providing holistic and patient-centered care.

Correct Answer: C

Rationale: Sickle cell disease is a genetic blood disorder that primarily affects people of African, Middle Eastern, and Mediterranean descent. Arab Americans fall into the Middle Eastern category and are therefore more susceptible to sickle cell disease. The disease occurs when someone inherits two abnormal hemoglobin genes, one from each parent, leading to the production of abnormal hemoglobin known as hemoglobin S. This causes red blood cells to become rigid and sticky, leading to blockages in blood vessels and resulting in pain, anemia, organ damage, and other complications. It is important for members of susceptible cultural groups to be aware of their increased risk for certain diseases to seek appropriate medical care and genetic counseling if needed.

Correct Answer: B

Rationale: By postponing the admission interview, verbally ensuring safety, and providing a warm meal to the client, the nurse is establishing a foundation of trust with the individual. Trust is important in any therapeutic relationship, especially with clients who may have past experiences of mistrust, such as homeless individuals with mental health conditions. Building trust allows the client to feel more comfortable and secure in the interaction, which can ultimately lead to better outcomes in their care and treatment. It also sets the stage for future engagement and collaboration between the client and healthcare providers.

Correct Answer: B

Rationale: The phase of the nurse-client relationship that begins when the individuals first meet is the orientation phase. This phase is characterized by an agreement to continue to meet and work on setting client-centered goals. During this phase, the nurse and client establish rapport, gather information, and set the tone for the rest of the therapeutic relationship. It is an essential phase where trust and mutual understanding are developed, setting the foundation for the rest of the therapeutic process.

Correct Answer: D

Rationale: During the working phase of relationship development, the priority task for a nurse is to promote the client's insight and perception of reality. This involves helping the client gain a better understanding of their thoughts, emotions, and behaviors, as well as helping them see things more clearly and accurately. By promoting the client's insight and perception of reality, the nurse can assist the client in making positive changes, resolving issues, and achieving their therapeutic goals. This task is essential for facilitating growth, problem-solving, and overall improvement in the client's mental health and well-being.