Author Question: You are discussing the condition and needs of a male Asian patient and are requesting permission for ... (Read 41 times)

armygirl · **on:** Jul 11, 2018

You are discussing the condition and needs of a male Asian patient and are requesting permission for certain procedures to be performed. How should you handle this situation with family members?

a. Explain the patient's condition to his wife and ask her permission for the procedures to be done
b. Acknowledge the wife but speak directly and formally to the patient's father and mother who are present
c. Go directly to the patient's father and act in a very friendly manner
d. Ask a translator to obtain permission from the wife

Question 2

Chronic venous insufficiency is common only in older adults. The signs of chronic venous insufficiency include

a. Distended tortuous veins, cyanosis if dependent
b. Hair loss
c. Pedal edema that improves at night
d. All of the above

shaikhs · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

B
In many Asian cultures, the oldest male family member (or if he is dead, the oldest female family member) makes important decisions, such as decisions regarding an adult son's health. The wife should not be ignored, however. When speaking with the patient's parents, look directly at them and speak formally (using Mr. and Mrs.) and respectfully. Response A is incorrect because the oldest family member makes the decisions. Response C is incorrect because it is too informal, and the wife should not be ignored. Response D is inappropriate because the family member may ask medical-related or nursing-related questions; if necessary, you can bring a translator with you to assist in communication.

Answer to Question 2

D
Signs and symptoms of chronic venous insufficiency include distended tortuous veins, hair loss, hyperpigmentation, cool or normal skin temperature, pretibial or pedal edema that resolves at night with rest and with elevation, and cyanosis when legs are dependent.