In doing an initial assessment of a Native American, the nurse ...

[audragclark]

In doing an initial assessment of a Native American, the nurse should be aware of the fact that
 
  a. Native Americans like to relate their personal history
  b. Many Native Americans find the personal questions asked during a history offensive
  c. Native Americans who speak English are completely comfortable with the U.S. health-care system
  d. Many Native Americans rely solely on the Indian Health Care Services for health care

Question 2

In the neurological portion of the examination, it is appropriate to
 
  a. Invite the family members to be present
  b. Demonstrate portions of the test that may be confusing
  c. Ask only yes or no questions
  d. Interject anecdotal information about yourself

[miss_1456@hotmail.com]

Answer to Question 1

B
Many Native Americans find the questions asked during an initial assessment and history offensive and intrusive. It is sometimes wiser to ask younger members of the family about a patient's history. Although Native Americans are great storytellers, they do not like to reveal much about their personal lives to strangers, so response A is not the best choice. Responses C and D are incorrect. Native Americans are often a caught in limbo in terms of modern health care. They are caught between their traditions and modern treatmentthe Shaman and the physician. Finally, they often are lost between the Indian Health Care Services and other health-care services available in the United States.

Answer to Question 2

B
Explaining by offering demonstrations often decreases anxiety and allows for a better assessment. Responses A, C, and D may increase anxiety.