When a Mexican American client and the primary nurse are sitting together, the client often takes
the nurse's hand and holds it. The client also takes the nurse's hand or links her arm through the
nurse's when they are walking.
The nurse has made the assessment that the client is a lesbian and is
quite uncomfortable with the behavior. Which of the following alternatives might be a more accurate
assessment?
a. The client is accustomed to touch during conversation, as are members of many
Hispanic subcultures.
b. The client understands that touch makes the nurse uncomfortable and controls the
relationship based on that factor.
c. The client is afraid of being alone. When touching the nurse, the client is
reassured that she is not alone.
d. The nurse is homophobic.
ANS: A
The most likely answer is that the client's behavior is culturally influenced. Hispanic women
frequently touch women they consider to be their friends. Although the other options are possible,
they are much less likely.
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