Rationale: The nurse should provide the client with information about local support groups and resources for immigrants, as this can help the client to connect with others who share similar experiences and challenges, and to access services that can facilitate their adjustment and integration into the new culture.

Incorrect options:

A) Encourage the client to adopt the dominant culture as soon as possible. - This is an incorrect intervention, as it may cause the client to feel pressured to abandon their own cultural identity and values, which can increase their stress and alienation.

C) Discourage the client from expressing negative emotions or frustrations about the new culture. - This is an incorrect intervention, as it may invalidate the client's feelings and prevent them from coping effectively with their culture shock. The nurse should acknowledge and empathize with the client's emotions and help them to find positive ways to deal with them.

D) Avoid asking the client about their cultural beliefs and practices to prevent stereotyping. - This is an incorrect intervention, as it may create a barrier to communication and rapport between the nurse and the client, and prevent the nurse from providing culturally competent care. The nurse should ask open-ended questions and show respect and curiosity for the client's cultural background and preferences.

Rationale: The nurse should interpret these behaviors as expressions of deference and respect, as some indigenous cultures consider direct eye contact and loud speech to be rude or aggressive, especially when interacting with authority figures or strangers.

Incorrect options:

A) The client is being disrespectful and uncooperative. - This is an incorrect interpretation, as it reflects a bias or ethnocentrism on the part of the nurse, who may be imposing their own cultural norms and expectations on the client.

C) The client is feeling anxious and fearful. - This is an incorrect interpretation, as it may be based on a stereotype or assumption that indigenous people are timid or submissive. The nurse should not attribute emotions or feelings to the client without further assessment or evidence.

D) The client is hiding something or lying. - This is an incorrect interpretation, as it may indicate a lack of trust or rapport between the nurse and the client, which can hinder the quality of care. The nurse should not judge or accuse the client based on their nonverbal cues alone.

Rationale: The nurse should use visual aids, demonstrations, and examples to supplement verbal information, as this can help to enhance comprehension, retention, and application of health education among clients who may have language barriers, low literacy skills, or different learning styles.

Incorrect options:

A) Use medical jargon and technical terms to demonstrate expertise and credibility. - This is an incorrect strategy, as it may confuse or intimidate clients who are not familiar with medical terminology or concepts, and create a power imbalance between the nurse and the clients.

C) Use a standardized curriculum and teaching materials for all clients regardless of their culture or literacy level. - This is an incorrect strategy, as it may not address the specific needs, preferences, or values of each client, and fail to account for cultural variations in health beliefs, practices, or behaviors.

D) Use humor, sarcasm, and idioms to make the teaching more engaging and memorable. - This is an incorrect strategy, as it may offend or mislead clients who do not share the same cultural or linguistic context as the nurse, and cause misunderstanding or miscommunication.

A nurse is working with a client who has a terminal illness and is considering hospice care. The client's family is opposed to this option and wants the client to continue aggressive treatment. The nurse learns that the client and the family are from a collectivistic culture that values family harmony and decision-making. What should the nurse do to facilitate ethical and culturally sensitive care?

A) Respect the family's wishes and persuade the client to follow their advice.

B) Respect the client's wishes and inform the family that they have no say in the matter.

C) Respect the client's autonomy and support their right to make their own choices.

D) Respect the family's involvement and encourage open dialogue and negotiation among all parties.

Rationale: The nurse should ask all of these questions to elicit information about the client's cultural identity, as they can help to capture the diversity and complexity of Hispanic/Latino culture, which encompasses various ethnicities, nationalities, languages, religions, and traditions.

Incorrect options:

A) What country or region of origin do you or your ancestors come from? - This is a partial question, as it may not reflect the full extent of the client's cultural identity, which may be influenced by other factors such as language, religion, or acculturation.

B) What language or languages do you speak at home or with your family? - This is a partial question, as it may not capture the nuances of the client's cultural identity, which may vary depending on their country or region of origin, generation, or education level.

C) What religion or spiritual beliefs do you practice or follow? - This is a partial question, as it may not account for the diversity of religious or spiritual expressions among Hispanic/Latino clients, who may belong to different denominations, sects, or movements within or outside of Christianity.

Rationale: The nurse should explore their feelings and thoughts critically and reflectively to identify their sources and effects, as this can help them to recognize and acknowledge their own cultural bias, understand how it may influence their perception and behavior toward the client, and take steps to minimize its impact on their care delivery.

Incorrect options:

A) Ignore their feelings and thoughts and focus on providing objective and standardized care. - This is an incorrect action, as it may prevent the nurse from addressing their own cultural bias, which may affect their ability to provide objective and individualized care that meets the client's needs and preferences.

B) Express their feelings and thoughts openly and honestly to the client and ask for feedback. - While open and honest communication is important in nursing, expressing negative feelings and thoughts about a client's culture directly to the client can be potentially harmful and disrespectful. It is essential for nurses to maintain professionalism and provide culturally sensitive care.

D) Change their feelings and thoughts by adopting a positive attitude and mindset toward the client's culture. - While it is important for nurses to approach their care with an open and respectful attitude, simply adopting a positive mindset may not address the underlying cultural bias. It is crucial for nurses to engage in self-reflection and critical thinking to understand and challenge their own biases effectively.