The communication style that would be most effective for a culturally knowledgeable nurse to adopt
during an assessment interview with a 40-year-old Native American client would be
a. the frequent use of nonverbal behaviors such as gesturing, smiling, and making
wry faces to express negatives.
b. a loud voice, unbroken eye contact, minimal gesturing, and straight-to-the-point
questions.
c. to be open and friendly, ask direct questions, and touch the client's arm or hand
occasionally for reassurance.
d. a soft voice, breaking eye contact occasionally, with general leads and reflective
techniques.
ANS: D
Native American culture stresses living in harmony with nature. Cooperative, sharing styles rather
than competitive or intrusive approaches are preferred; thus the more passive style described in
option 4 would be best received. The other options would be more effective to use with clients with
a Western orientation.
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