A Latin American woman refuses to participate in an assertiveness ...

[KWilfred]

A Latin American woman refuses to participate in an assertiveness training group. Which cultural belief should a nurse identify as most likely to have influenced this client's decision?
 
  A. Future orientation causes the client to devalue assertiveness skills.
  B. Decreased emotional expression makes it difficult to be assertive.
  C. Assertiveness techniques may not be aligned with the client's definition of the female role.
  D. Religious prohibitions prevent the client's participation in assertiveness training.

Question 2

An African American youth, growing up in an impoverished neighborhood, presents in the emergency department with bruises to his face, chest, and arms.
 
  He appears to be upset, is speaking in a dialect that is difficult for the nurse to understand, and is standing within 6 inches of the nurse's personal space. What cultural consideration should a nurse identify as playing a role in this youth's behavior? A. African Americans frequently speak in different tongues when they are upset.
  B. Most African Americans have learned to be aggressive when they have to see a health professional.
  C. African Americans tend to use dialects and invasion of personal space to intimidate others.
  D. Some African Americans speak in a dialect that is different from standard English and tend toward smaller personal space than that of the dominant culture.

[bigcheese9]

Answer to Question 1

C
The nurse should identify that the Latin American woman's refusal to participate in an assertiveness training group may be influenced by the Latin American cultural definition of the female role. Latin Americans place a high value on the male-dominated family. The father usually possesses the ultimate authority.

Answer to Question 2

D
The nurse needs to recognize that a tendency toward smaller personal space and the use of dialects different from Standard English are cultural variables and don't necessarily imply aggressive or disrespectful behavior.

[KWilfred]

Thank you

[bigcheese9]

No problemo