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Author Question: A female nurse is interviewing a man who has recently immigrated. During the course of the ... (Read 238 times)

chads108

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A female nurse is interviewing a man who has recently immigrated. During the course of the interview, he leans forward and then finally moves his chair close enough that his knees are nearly touching the nurse's knees.
 
  The nurse begins to feel uncomfortable with his proximity. Which statement most closely reflects what the nurse should do next?
  a.
  The nurse should try to relax; these behaviors are culturally appropriate for this person.
  b.
  The nurse should discreetly move his or her chair back until the distance is more comfortable, and then continue with the interview.
  c.
  These behaviors are indicative of sexual aggression, and the nurse should confront this person about his behaviors.
  d.
  The nurse should laugh but tell him that he or she is uncomfortable with his proximity and ask him to move away.

Question 2

A female American Indian has come to the clinic for follow-up diabetic teaching. During the interview, the nurse notices that she never makes eye contact and speaks mostly to the floor. Which statement is true regarding this situation?
 
  a. The woman is nervous and embarrassed.
  b. She has something to hide and is ashamed.
  c. The woman is showing inconsistent verbal and nonverbal behaviors.
  d. She is showing that she is carefully listening to what the nurse is saying.



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bigsis44

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Answer to Question 1

ANS: A
Both the patient's and the nurse's sense of spatial distance are significant throughout the interview and physical examination, with culturally appropriate distance zones varying widely. Some cultural groups value close physical proximity and may perceive a health care provider who is distancing him or herself as being aloof and unfriendly.

Answer to Question 2

ANS: D
Eye contact is perhaps among the most culturally variable nonverbal behaviors. Asian, American Indian, Indochinese, Arabian, and Appalachian people may consider direct eye contact impolite or aggressive, and they may avert their eyes during the interview. American Indians often stare at the floor during the interview, which is a culturally appropriate behavior, indicating that the listener is paying close attention to the speaker.





 

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