A novice nurse has identified impaired verbal communication for an older Asian patient who recently immigrated to the United States based on the patient's reluctance to main-tain eye contact and engage in a conversation with staff
In order to assure that the diagnosis is appropriate, the nurse manage asks:
a. "Have you asked the patient why communication is difficult for them?"
b. "Could you be misdiagnosing common shyness for a communication issue?"
c. "Have you noticed the patient communicating differently with family when they visit?"
d. "Do you think the patient's cultural traditions have a part to play in their commu-nication behaviors?"
ANS: D
Misunderstanding occurs when the nurse fails to take into account culture-specific interaction patterns. Silence, infrequent eye contact, shame, fear, and language barriers all affect a pa-tient's ability to interact. In light of the patient's cultural diversity, the other options are less likely to be pertinent.
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