Which of the following is most likely to be true about caring for an older African-American patient?
a. The patient can expect to find support from his church after discharge.
b. During a physical assessment, an exami-nation of the interior of the patient's mouth with adequate light is important.
c. The patient may follow hot-cold beliefs.
d. African Americans may avoid eye contact when interacting with others.
B
During a physical assessment, an examination of the interior of the patient's mouth with adequate light is important; this statement is true because skin pigmentation can conceal some clinical signs such as cyanosis, which are more visible in the buccal cavity. Although the church is a source of support for many older African Americans, it should not be assumed at the expense of other forms of support. Traditional Chinese medicine is based on hot-cold beliefs, not Afri-can-American beliefs. Avoidance of eye contact has not been identified as a cultural practice for African Americans.
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