Which action would the nurse take when assessing a patient of American Indian heritage? Select all that apply

1. Remaining quiet and recognizing the importance of nonverbal communication to seek information
2. Asking detailed questions regarding the presenting symptoms
3. Asking indirect questions about the reason for seeking health care
4. Ensuring no one beyond the medical provider and the patient discuss what has brought the patient to seek care


1, 3
Explanation: 1. Nonverbal communication is an important concept to American Indians, and the medical provider is expected to deduce the problem through instinct rather than asking detailed questions to form a history.
2. Asking detailed questions regarding the presenting symptoms is intrusive to the individual privacy of the American Indian.
3. Asking indirect questions about the reason for seeking healthcare may be a valuable technique.
4. Ensuring patient confidentiality is universal and not specific to the American Indian.

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