While interviewing an older female patient of Asian descent, the nurse notices that the patient looks at the ground when answering questions. This nurse should
a. Notify the physician to recommend a psychological evaluation.
b. Consider cultural differences during this assessment.
c. Ask the patient to make eye contact to determine her affect.
d. Continue with the interview and document that the patient is depressed.
ANS: B
Older women of Asian descent consider it rude to look an authority figure, such as a health care professional, in the eye. 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 is inappropriate.
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