While admitting a patient to the medical unit, the nurse should take which action?

Correct Answer: D

Rationale: The correct answer is D because developing a plan of care and measurable objectives with the patient promotes patient-centered care, collaboration, and shared decision-making. It ensures that the patient's preferences and needs are considered, leading to better outcomes. A: Demonstrating human caring by hugging the patient may be inappropriate due to professional boundaries and individual comfort levels. B: Disclosing shared intimate details with other healthcare providers violates patient confidentiality and privacy. C: Maintaining a physical distance is important for infection control but does not address the holistic care needs of the patient.

Correct Answer: C

Rationale: The correct answer is C because asking the patient about expectations for postoperative pain management is crucial for providing individualized care. This allows the nurse to understand the patient's preferences and tailor the pain management plan accordingly. Choice A is not the most appropriate as mandating a complementary therapy without patient input may not align with the patient's preferences. Choice B is not ideal as administering opioids based solely on pain rating may not consider individual variations in pain perception. Choice D is less appropriate as it may not account for the patient's specific needs and preferences. In summary, choice C prioritizes patient-centered care and individualized pain management, making it the most appropriate action in this scenario.

Correct Answer: B

Rationale: The correct answer is B because building mutuality in the nurse-client relationship involves collaboration and shared decision-making. By involving the client in making decisions about self-care, the nurse fosters a sense of partnership and empowers the client to take ownership of their health. This approach promotes trust, respect, and active participation in managing diabetes. A is incorrect because retaining power and making judgments can create a hierarchical relationship, undermining mutuality. C is incorrect as having expert knowledge is important, but it does not necessarily build mutuality without involving the client in decision-making. D is incorrect because solving problems for the client may hinder their autonomy and growth in managing their condition independently.

Correct Answer: A

Rationale: The correct answer is A because understanding cultural influences on healthcare perceptions and behaviors is essential for providing effective care to patients from different backgrounds. By discovering these influences, the nurse can better communicate, build trust, and provide culturally sensitive care. Choice B is incorrect as it may disregard the importance of the patients' own cultural beliefs and practices. Choice C is incorrect as avoiding confrontation of discrimination issues may perpetuate disparities in care. Choice D is incorrect as speaking Spanish is helpful but not as crucial as understanding cultural influences.

Correct Answer: B

Rationale: The correct answer is B: Assess whether the client is comfortable with eye contact. In Native American culture, eye contact norms can vary, with some individuals finding direct eye contact disrespectful. By assessing the client's comfort with eye contact, the nurse can demonstrate cultural sensitivity and respect the client's preferences. This ensures effective communication and builds trust. Incorrect choices: A: Maintaining eye contact may be perceived as disrespectful by some Native American clients. C: Avoiding prolonged eye contact assumes all Native American clients prefer limited eye contact, which is a generalization. D: Sitting next to the patient to avoid eye contact may not address the client's preferences and could be seen as avoidance behavior.