A Hispanic client whose only child died of pneumonia over a year ago states that she is unable to go
about her usual home duties and community interactions because of debilitating headaches and
backaches. The psychiatrist diagnoses depression.
Her primary care nurse tells the clinical nurse
specialist "I can't seem to help her. All she talks about are the headaches and the backaches.". The
clinical nurse specialist can foster the cultural competence of the nurse by saying
a. "You need to be patient and let her take the lead.".
b. "You must take the lead and focus on the reason for her resistance.".
c. "In her culture, physical symptoms are idioms of distress expressing emotional
pain.".
d. "You might ask the client why she has chosen to grieve for her child in this
particular way.".
ANS: C
Nurses often need to be sensitized to client use of physical symptoms as a means of expressing
psychological pain. Somatic equivalents are seen in clients of the Western culture as well.
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The nurse is counseling an elderly couple and encourages both of them to receive the pneumococcal vaccine. The nurse would understand that further teaching is necessary if which of the following statements was made by one of the clients?
1. "We will need to get vaccinated each year.". 2. "The vaccine is recommended for us because we are both over the age of 65.". 3. "The vaccine does not protect us against all types of pneumonia.". 4. "We should get the influenza vaccine and the pneumonia vaccine.".
All of the following statements about nursing diagnoses are true except
a. the nursing diagnosis is the end point of implementation of nursing interventions b. nursing diagnoses are a legal component of the client record c. nursing diagnoses can be made for communities d. the nursing diagnosis is a statement that can describe the human response to illness
The process of becoming more conscious of and naming what we value or consider worthy is:
a. journaling. c. overt values. b. values clarification. d. values conflict.
The client at 14 weeks' gestation has undergone a transvaginal ultrasound to assess cervical length. The ultrasound revealed cervical funneling. How should the nurse explain these findings to the client?
1. "Your cervix has become cone-shaped and more open at the end near the baby." 2. "Your cervix is lengthened, and you will deliver your baby prematurely." 3. "Your cervix is short, and has become wider at the end that extends into the vagina." 4. "Your cervix was beginning to open but now is starting to close up again."