The nurse is caring for an African-American patient who appears to understand instructions for self-care but does not carry out basic self-care tasks. The nurse understands that the patient may
a. be poorly educated and lack basic comprehension skills.
b. need more time and personal space to assimilate what is taught.
c. require the use of culturally appropriate words and phrases when teaching.
d. view illness as punishment and lack desire to change the outcome.
ANS: C
African Americans may use a common style of speaking. This vernacular English may be quite different in some cases from standard English, so if things are misunderstood, it is possible that vernacular terminology may need to be used. This vernacular English does not mean that patients are poorly educated or uncommunicative. African Americans do not tend to need more space and do not necessarily view illness as punishment.
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