A clinical specialist supervises therapy for a 26-year-old African American client originally from Haiti who was admitted for depression. A staff nurse tells the clinical specialist that " The client can't seem to express her feelings when I ask about them. She just looks down.". The nurse adds, "But I've seen her talking to a young African American client, and she seems quite spontaneous.". What remark by the clinical specialist would help the staff nurse develop cultural competence?
a. "Why not ask the other client to tell you what your client tells him. Once you
have an opening, your client will become more spontaneous with you.".
b. "Don't take it personally. African Americans often have a resentful attitude that
takes weeks to overcome.".
c. " She may have difficulty communicating her feelings in standard English. Have
you considered using a cultural translator?"
d. "Most African Americans depend on the African American church for support.
Why not ask her pastor to come in to pray with the two of you for the success of
her treatment?"
ANS: C
Society expects a culturally diverse client to accommodate and use standard English. This may be
virtually impossible during episodes of mental illness. Cultural translators can be helpful with
language and helping the nurse to understand the Haitian worldview and cultural nuances.
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