TEST BANK FOR SAUNDERS COMPREHENSIVE REVIEW FOR THE NCLEX-PN EXAMINATION 4TH EDITION LINDA ANNE SILVESTRI ISBN-10: 1416047301

Chapter 6: Cultural Diversity Test Bank MULTIPLE CHOICE 1. A nurse is providing discharge instructions to a Chinese client regarding prescribed dietary modifications. During the teaching session the client continually turns away from the nurse. Which of the following nursing actions is most appropriate? 1. Continue with the instructions, verifying client understanding. 2. Identify the importance of the instructions for the maintenance of health care. 3. Walk around the client so that the nurse continually faces the client. 4. Give the client a dietary booklet and return later to continue with the instructions. ANS: 1 Rationale: Most Chinese maintain a formal distance with each other, which is a form of respect. Many Chinese are uncomfortable with face-to-face communications, especially when there is direct eye contact. If the client turns away from the nurse during a conversation, the best action is to continue with the conversation. Walking around the client so that the nurse faces the client is in direct conflict with the cultural practice. Identifying the importance of the instructions for the maintenance of health care may be viewed as degrading. Returning later to continue with the explanation may be viewed as a rude gesture. Test-Taking Strategy: Understanding the characteristics of this cultural group will assist in answering the question. Use the process of elimination. Eliminate options 2 and 4 first because these are nontherapeutic actions. From the remaining two options, note that option 1 is the most therapeutic. If you had difficulty with this question, review the communication practices of this cultural group. DIF: Level of Cognitive Ability: Application REF: Giger, J., & Davidhizar, R. (2004). Transcultural nursing: Assessment and intervention. St. Louis: Mosby. OBJ: Client Needs: Psychosocial Integrity TOP: Content Area: Fundamental Skills MSC: Integrated Process: Teaching and Learning