After conducting a physical assessment for an adult client, the nurse discusses the assessment with a co-worker and states that the client's beliefs and actions regarding common health practices seem "weird."
Based on this data, which action by the nurse is the most appropriate?
A) Repeat the assessment later in the day.
B) Determine the culture with which the client identifies.
C) Write a nursing diagnosis to address the "weird" beliefs and actions.
D) Communicate the findings to the health-care team.
Answer: B
A thorough assessment is needed before proceeding with other steps of the nursing process. Behavior that is considered weird 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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