The nurse is planning to conduct a physical assessment with a client from a different culture. What is the best way for the nurse to show cultural sensitivity when addressing the personal questions required of the nursing history?
1. Break the assessment into shorter intervals and discuss general topics first.
2. Thoroughly explain the reason for asking many questions before beginning the assessment.
3. Pick a time when the family is present and can help with the admission assessment questions.
4. Wait until the nurse–client relationship has been established.
Correct Answer: 1
Rationale 1: Clients may be offended when the nurse immediately asks personal questions. In some cultures, courtesies should be established before business or personal topics are discussed. Discussing general topics can convey that the nurse is interested and has time for the client. This enables the nurse to develop a rapport with the client before progressing to discussion that is more personal.
Rationale 2: Even if the explanation is given, clients from some cultures may still find questions of a personal nature offensive so early in the nurse–client association.
Rationale 3: The sensitive issue is not necessarily one of language or communication barriers.
Rationale 4: Waiting to complete the assessment is not a good idea as there is certain, initial information that needs to be collected from the client.
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