Author Question: While providing health teaching to an older patient of Asian descent the nurse notes that the ... (Read 73 times)

pane00 · **on:** Jul 8, 2018

While providing health teaching to an older patient of Asian descent the nurse notes that the patient agrees to all questions the nurse asks. What method should the nurse use to determine that the patient understands health teaching?

1. Use simple language that the person can understand.
2. Have another member of the person's family do the teaching.
3. Ensure that there is an interpreter nearby while doing the health teaching.
4. Ask the person to give an explanation, in their own words, of the health teaching.

Question 2

During a home visit the nurse notes that a patient originally from Mexico seems passive during health teaching and follow-up questions about the home treatment plan. What should the nurse conclude about this patient's behavior?

1. The patient probably does not understand English.
2. The patient is not interested in what the nurse is doing.
3. There may be cultural factors that explain the patient's behavior.
4. The patient may be uncomfortable with having the nurse in the home.

wuly · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Answer: 4
Explanation: 4. There is a great respect for authority among older people of Asian background. As such, they tend to agree with what is being said or done rather than question it, even if only for clarity of understanding. It would be considered disrespectful to question authority. The nurse could elicit understanding of the person by asking them to explain what was taught-essentially a return demonstration. There is no indication that the person does not understand English, therefore an interpreter may not be necessary. A family member might wish to be present, but it is not necessary to the success of the health teaching. Using simple language is not the most reliable method to determine if the person understands health teaching; it would be best to elicit understanding of the person by asking them to explain what was taught.

Answer to Question 2

Answer: 3
Explanation: 3. Cultural background may influence how the patient responds to questions and teaching. In Mexican culture, it is expected that the nurse, as the authority figure, will take care of all the patient's needs. The nurse may perceive this as disinterest. The patient assumes a dependent position in health care. There is no indication that the patient is not fluent in English, or that there is discomfort in having the nurse perform a home visit.