The psychiatric home care nurse makes visits a Hispanic client being treated for depression. The
client greets the nurse with a smile and eagerly offers to make coffee.
The nurse initiates a
handshake, politely refuses the coffee so as not to make work for the client, and suggests they talk
about how the client is doing. During the session the nurse notes the client seems less spontaneous in
affect and becomes more withdrawn. In analyzing the situation the nurse should correctly conclude
that
a. the client is experiencing rapid cycling.
b. the client may feel rejected by the nurse.
c. the nurse has broached a taboo topic.
d. social touch is inappropriate for Hispanic clients.
ANS: B
In the Hispanic culture, good etiquette requires accepting offers of food and spending some time in
small talk before getting down to business. The nurse behaved impolitely by the client's standards.
Option A: Rapid cycling is related to rapid mood swings of bipolar disorder. Option C: Data are not
present to suggest that the nurse touched on a taboo topic. Option D: Clients of Hispanic culture
engage in "high touch" behaviors.
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