While interviewing an older female patient of Asian descent, the nurse notices that the patient looks at the ground when answering questions. What should the nurse do?
a. Consider cultural differences during this assessment.
b. Ask the patient to make eye contact to determine her affect.
c. Continue with the interview and document that the patient is depressed.
d. Notify the health care provider to recommend a psychological evaluation.
ANS: A
To conduct an accurate and complete assessment, consider a patient's cultural background. This nurse needs to practice culturally competent care and appreciate the cultural differences. Assuming that the patient is depressed or in need of a psychological evaluation or to force eye contact is inappropriate.
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