The sibling of a client who is a single Asian American college student tells the nurse "My sister
needs help for the pain in her back. She goes crazy—screaming and crying, like when they brought
her to the hospital, from the hurt.".
What understanding on the part of the nurse will contribute to a
culturally relevant care plan? The client
a. will require a prolonged hospitalization to stabilize these symptoms.
b. will probably respond best to a therapist who remains aloof and ungiving.
c. may express emotional distress with physical symptoms and look to health
professionals to treat the physical symptoms.
d. has an independent worldview and must be treated without consideration to
information given by family members.
ANS: C
The orientation that psychological problems are caused by a physical imbalance is prevalent among
Asian Americans. These clients often expect healers to focus on treatment of the physical symptoms
and believe the psychological symptoms will then subside. Option A: Hospitalization will likely be
short. Option B: The client will probably respond best to a therapist who is perceived as giving; thus
giving a medication to treat the back pain would be expected by the client. Option D: Asian
Americans usually have strong family ties. Information from the family may be invaluable.
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