The nurse is teaching a client from a culture that is "present oriented" about a dressing change that should be performed twice a day. How should the nurse address the cultural issue?
1. Allow the client to select the times the dressing will be changed.
2. Instruct the client to change the dressing after breakfast and before going to bed.
3. Explain that the client should complete the dressing change at 10 AM and 4 PM.
4. Suggest that the dressing change can be performed whenever the client chooses, as long as it gets done twice daily.
Correct Answer: 2
Rationale 1: This option does not assure the dressing changes will occur as prescribed.
Rationale 2: For clients who are "present oriented," it is important to avoid fixed schedules. The nurse can offer a time range for activities and treatments, such as in the morning or after breakfast, and in the evening or before going to bed. This would fit better with the client who isn't focused on times of the day, such as 10 AM and 4 PM, but will provide for a dressing change twice daily.
Rationale 3: This option is not likely to be followed by a client who is "present oriented."
Rationale 4: This option does not comply with the intended order for the dressing changes.
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