A clinic nurse assesses a new Latino patient who repeatedly reports feeling nervous and having headaches. No organic pathology is present. The symptoms began about 3 years ago when the patient's parent died. Select the nurse's best first action
a. Explore the patient's grief.
b. Encourage the patient to take frequent rest periods.
c. Reassure the patient that these feelings are normal.
d. Screen for additional signs and symptoms of depression.
D
Latino patients often do not express depression as being related to their mood; rather, they present vague somatic symptoms. Nurses often have good understanding of cultural differences. The nurse should first screen for other signs and symptoms of depression. The patient's feelings are not normal when considered from a cultural viewpoint. Reassuring the patient that the feelings are normal would be nontherapeutic. Exploring grief may come later. Frequent rest periods would isolate the patient who actually needs support.
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