A new nurse is caring for a patient from Appalachi
a. The patient seems guarded and secretive, which frustrates the new nurse. What advice from the mentor is most appropriate?
a. "Maybe you should ask to change your assignment."
b. "This is a normal behavior for this pa-tient's cultural group."
c. "You could try to apologize for anything you may have done."
d. "Ask the patient why she is acting so strangely around you."
B
Patients from the Appalachian culture are typically wary and guarded around strangers and view the hospital as a place to go and die. The nurse explains this to the new nurse. Changing assign-ments will not help the new nurse become culturally competent. The new nurse could ask the patient if there has been some offense, but this is probably not the case. "Why" questions put people on the defensive and are not considered examples of therapeutic communication.
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