When a female Mexican American patient and a female nurse sit ...

[nmorano1]

When a female Mexican American patient and a female nurse sit together, the patient often holds the nurse's hand. The patient also links arms with the nurse when they walk. The nurse is uncomfortable with this behavior. Which analysis is most accurate?
 
  a. The patient is accustomed to touch during conversation, as are members of many Hispanic subcultures.
  b. The patient understands that touch makes the nurse uncomfortable and controls the relationship based on that factor.
  c. The patient is afraid of being alone. When touching the nurse, the patient is reassured and comforted.
  d. The patient is trying to manipulate the nurse using nonverbal techniques.

Question 2

Which principle should guide the nurse in determining the extent of silence to use during patient interview sessions?
 
  a. A nurse is responsible for breaking silences.
  b. Patients withdraw if silences are prolonged.
  c. Silence can provide meaningful moments for reflection.
  d. Silence helps patients know that what they said was understood.

[ricroger]

Answer to Question 1

ANS: A
The most likely answer is that the patient's behavior is culturally influenced. Hispanic women frequently touch women they consider to be their friends. Although the other options are possible, they are less likely.

Answer to Question 2

ANS: C
Silence can be helpful to both participants by giving each an opportunity to contemplate what has transpired, weigh alternatives, and formulate ideas. A nurse breaking silences is not a principle related to silences. It is inaccurate to say that patients withdraw during long silences or that silence helps patients know that they are understood. Feedback helps patients know they have been understood.