NCLEX · Therapeutic Communication

A client from a culture different from the nurse's expresses beliefs about health that differ from the nurse's own. What is the BEST approach?

Correct answer

Show cultural sensitivity — respect the client's beliefs and incorporate them into care when safe and feasible, while providing accurate information

  1. A Ignore the client's beliefs entirely
  2. B Show cultural sensitivity — respect the client's beliefs and incorporate them into care when safe and feasible, while providing accurate information
  3. C Refuse to care for the client
  4. D Insist the client adopt the nurse's beliefs

Why this is the answer

The best approach is culturally sensitive care: respecting the client's cultural beliefs and values, listening without judgment, and incorporating those beliefs into the plan of care when it is safe and feasible, while still providing accurate health information. Insisting the client abandon their beliefs, ignoring them, or refusing care are non-therapeutic and disrespectful. Cultural competence and sensitivity in communication support trust and better outcomes. Understanding the principle of respecting cultural differences in care is a standard psychosocial and communication concept. (This reflects general principles; verify against current NCLEX prep materials.)
Source: NCLEX-PN Psychosocial — Cultural Sensitivity

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About this topic: Therapeutic Communication

Therapeutic communication questions ask for the best response to a client — open-ended, reflective, non-judgemental — and the blocks to avoid: false reassurance, giving advice, changing the subject, why questions. This is one of 15 PN: Psychosocial Integrity questions on therapeutic communication, each with a full explanation on a single study page.

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