The prenatal clinic nurse is assessing a newly pregnant Hispanic client. Her husband is present. Which communication techniques should the nurse use with regard to the client's culture? (Select all that apply.)

Question

a. Establish full eye contact.
b. Begin the assessment with some small talk.
c. Ask the client if the family uses a curandero.
d. Ask the husband to wait in the waiting area until the assessment is completed.
e. Determine the client's understanding of English and explain that a Spanish interpreter can be available, if needed.

Answer 1

ANS: B, C, E
Preliminary social interaction is important, and Hispanics may be insulted if a problem is addressed directly without taking time for small talk. The curandero, a folk healer, may be consulted for health care before a professional health care worker is consulted. Spanish is the primary language for many Hispanics in their homes, although they may speak English fluently when working. The nurse should establish if Spanish is preferred over English. Direct, full eye contact is not considered polite in the Hispanic culture. Men usually serve as head of household and are considered strong ("macho"). Asking the husband to wait in the waiting area would not be appropriate.