Which communication techniques would be most effective for a nurse to use during an assessment interview with an adult Native American patient?
a. Open and friendly; ask direct questions; touch the patient's arm or hand occasionally for reassurance.
b. Frequent nonverbal behaviors, such as gestures and smiles; make an unemotional face to express negatives.
c. Soft voice; break eye contact occasionally; general leads and reflective techniques.
d. Stern voice; unbroken eye contact; minimal gestures; direct questions.
ANS: C
Native American culture stresses living in harmony with nature. Cooperative, sharing styles rather than competitive or intrusive approaches are preferred; thus, the more passive style described would be best received. The other options would be more effective to use with patients of a Western orientation.
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