A client who has had numerous children is having her annual examination. The nurse wishes to discuss contraception, but the client is not interested. Which action by the nurse is most appro-priate?
a. Provide education on the value of spacing children.
b. Explain the many alternatives from which to choose.
c. Ask the client how her husband feels about so many children.
d. Assess the client's religious and cultural background.
D
Cultural and religious backgrounds can have a great deal of influence on clients' attitudes toward sexuality and reproduction. Because the client does not seem interested in the topic, the nurse should gently assess for these background influences and respect them. Providing education that the client does not want is not helpful and is disrespectful. Asking about the husband's prefe-rences diminishes the nurse-client relationship, which should be focused on the client.
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