Which action would the nurse take when assessing a patient of ...

[JMatthes]

Which action would the nurse take when assessing a patient of American Indian heritage? Select all that apply.
 
  1. Remaining quiet and recognizing the importance of nonverbal communication to seek information
  2. Asking detailed questions regarding the presenting symptoms
  3. Asking indirect questions about the reason for seeking health care
  4. Ensuring no one beyond the medical provider and the patient discuss what has brought the patient to seek care

Question 2

A patient of the American Indian heritage is waiting to be seen in a non-Indian Health Service facility. What concern might this patient have about receiving health care through this route?
 
  1. Conflict between his or her perception of the illness and what the physician diagnoses
  2. Easier to receive medical care through emergency departments rather than private physicians
  3. Receive better healthcare from mainstream medical services
  4. Concern that medical insurance won't cover all the medical costs

[chem1s3]

Answer to Question 1

1, 3
Explanation: 1. Nonverbal communication is an important concept to American Indians, and the medical provider is expected to deduce the problem through instinct rather than asking detailed questions to form a history.
2. Asking detailed questions regarding the presenting symptoms is intrusive to the individual privacy of the American Indian.
3. Asking indirect questions about the reason for seeking healthcare may be a valuable technique.
4. Ensuring patient confidentiality is universal and not specific to the American Indian.

Answer to Question 2

1
Explanation: 1. When an American Indian is in a geographic area not covered by the Indian Health Services, there exists the concern of whether culturally appropriate care will be given. There may be conflict over whether the illness perceived by the American Indian is respected or addressed by the physician.
2. Receiving medical care through emergency departments rather than private physicians may contribute to feelings of conflict and concern, as there is no continuity of care.
3. Mainstream medicine may not address or consider the unique cultural aspects of providing care to an American Indian population.
4. Concern over insurance coverage is not foremost when an American Indian seeks healthcare from mainstream medicine.

[JMatthes]

Excellent

[AngeliqueG]

Gracias!