A Vietnamese immigrant is a student at the local community college nursing program. The nursing
instructor is concerned because the student has poor eye contact and has difficulty asking the direct
questions necessary for client assessment.
The nursing instructor arranges for the student to be
assessed by the nurse practitioner in the college health service. This action reflects
a. appropriate secondary prevention by the instructor.
b. insufficient understanding of the student's culture.
c. a violation of the student's civil rights.
d. prejudice and discrimination.
ANS: B
In the student's culture making eye contact can be perceived as disrespectful. In addition, asking
direct questions may seem to the student to be intrusive and disrespectful. Option A: This behavior
is not symptomatic of psychiatric illness; thus referral is inappropriate. Option C: Referral does not
violate civil rights, although it is insensitive on the part of the nursing instructor. Option D: No
evidence exists that the instructor was prejudiced rather than uninformed.
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