When a nurse is caring for a client whose culture considers personal touch as negative, what can the nurse do to express caring and acceptance to the client?

a. Assign personal care responsibilities to a family member.
b. Wear gloves when providing personal care.
c. Smile frequently at the client.
d. Stand a respectful distance away from the client.


C
A client's cultural orientation to space and time also affects his or her attitude toward care. Clients may believe that certain spaces or objects belong to them, and the distance people prefer to maintain from others is culturally determined; this idea is known as territoriality (interpretation of personal space). It is important for a nurse to know what personal space is acceptable for members of different cultural groups.

Nursing

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A nurse cares for a client who has a chest tube. When would this client be at highest risk for developing a pneumothorax?

a. When the insertion site becomes red and warm to the touch b. When the tube drainage decreases and becomes sanguineous c. When the client experiences pain at the insertion site d. When the tube becomes disconnected from the drainage system

Nursing

The family of a patient with schizophrenia who has been stable for a year reports to the community mental health nurse that the patient reports feeling tense and having difficulty concentrating

He sleeps only 3 to 4 hours nightly and has begun to talk about creatures called "volmers" hiding in the warehouse where he works and undoing his work each night. This information most likely suggests: a. medication nonadherence. b. a need for psychoeducation. c. the chronic nature of his illness. d. relapse of his schizophrenia.

Nursing

Which technique is performed at every infant's examination during the first year of life to detect hip dislocation?

a. Ballottement maneuver b. Barlow-Ortolani maneuver c. Range of motion d. Thomas McMurray assessment

Nursing

A patient has been hospitalized with hemophilia. Nursing management of this patient's care will include which interventions? Note: Credit will be given only if all correct choices and no incorrect choices are selected

Select all that apply. 1. Administration of replacement factors 2. Providing education to the patient and family 3. Achieving a cure for the disorder 4. Managing pain 5. Environmental control of risk

Nursing