Assessment of interpersonal relationships of Asian and ...

[BRWH]

Assessment of interpersonal relationships of Asian and Asian-American patients is de-pendent on the nurse's understanding that the culture of these patients is identified as high context and will therefore value:
 
  a. Privacy; family is not routinely included in health discussions
  b. Their right to make independent decisions about their care
  c. Sharing their opinions and wishes with healthcare team
  d. Their role and place in their family structure

Question 2

The nurse determines which patient is at the greatest risk for a spiritual crisis?
 
  a. A patient, whose religion opposes the use of blood products, has a severely bleeding ulcer
  b. A single parent who must decide to terminate life support for a terminally ill child
  c. A newlywed whose spouse has died in an automobile accident caused by a drunk driver
  d. A patient who denies the need for spiritual support when given the diagnosis of terminal cancer

[billybob123]

Answer to Question 1

ANS: D
Asian and Asian-American patients have been socialized into high-context cultures in which there is collective identity, group decision making, emotional dependence, deference to those of higher status and age, and use of indirect language to communicate. The remaining options are characteristic of low-context cultures.

Answer to Question 2

ANS: A
A spiritual crisis may occur when religious or spiritual beliefs conflict with a necessary pro-cedure or a treatment protocol, such as permitting a blood transfusion. Although the remain-ing options all present with a serious emotional situation, there is no evidence to support that the patient's beliefs are being challenged.