During the nursing assessment of the adult client, the nurse finds the client's beliefs and actions related to common health practices to be "bizarre.". The most appropriate action for the nurse to take at this time would be to:
1. Repeat the assessment later in the day.
2. Communicate the findings to the health care team.
3. Inquire as to the culture with which the client identifies.
4. Write a nursing diagnosis to address the "bizarre" beliefs and actions.
3. Inquire as to the culture with which the client identifies.
Rationale:
A thorough assessment is needed before proceeding with other steps of the nursing process. Behavior that is considered bizarre in one cultural context may be considered desirable in another. While findings will be communicated and used for nursing diagnosis formulation, these steps are built upon a thorough assessment. Repeating the assessment will most likely result in the same incomplete data. Writing a nursing diagnosis before investigating the client's culture would be premature.
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