A 23-year-old Jamaican mother took her 18-month-old child to a clinic because the child was lethargic. She was perplexed when the nurse asked how long the child had diarrhea, a term with which she was unfamiliar
Many Jamaicans refer to diarrhea as "runny belly." The nurse could have prevented the confusion at the beginning of the interview. Which of the following is the most culturally sensitive statement to begin the interview? A. "What do you call this problem?"
B. "How long has your child had the runs?"
C. "When did the loose stools begin?"
D. "Has anyone else in your family had diarrhea?"
A
To start an assessment, Seidel and others offer useful questions to begin to explore a patient's illness or health care problem in context of the patient's culture: "What do you call your problem?"
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