While providing health teaching to an older patient of Asian descent the nurse notes that the patient agrees to all questions the nurse asks. What method should the nurse use to determine that the patient understands health teaching?
1. Use simple language that the person can understand.
2. Have another member of the person's family do the teaching.
3. Ensure that there is an interpreter nearby while doing the health teaching.
4. Ask the person to give an explanation, in their own words, of the health teaching.
Answer: 4
Explanation: 4. There is a great respect for authority among older people of Asian background. As such, they tend to agree with what is being said or done rather than question it, even if only for clarity of understanding. It would be considered disrespectful to question authority. The nurse could elicit understanding of the person by asking them to explain what was taught-essentially a "return demonstration." There is no indication that the person does not understand English, therefore an interpreter may not be necessary. A family member might wish to be present, but it is not necessary to the success of the health teaching. Using simple language is not the most reliable method to determine if the person understands health teaching; it would be best to elicit understanding of the person by asking them to explain what was taught.
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