A female nurse is interviewing a man who has recently immigrated. During the course of the interview, he leans forward and then finally moves his chair close enough that his knees are nearly touching the nurse's knees
The nurse begins to feel uncomfortable with his proximity. Which statement most closely reflects what the nurse should do next?
a.
The nurse should try to relax; these behaviors are culturally appropriate for this person.
b.
The nurse should discreetly move his or her chair back until the distance is more comfortable, and then continue with the interview.
c.
These behaviors are indicative of sexual aggression, and the nurse should confront this person about his behaviors.
d.
The nurse should laugh but tell him that he or she is uncomfortable with his proximity and ask him to move away.
ANS: A
Both the patient's and the nurse's sense of spatial distance are significant throughout the interview and physical examination, with culturally appropriate distance zones varying widely. Some cultural groups value close physical proximity and may perceive a health care provider who is distancing him or herself as being aloof and unfriendly.
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