While caring for an older Korean patient, the nurse notes that ...

[dakota nelson]

While caring for an older Korean patient, the nurse notes that the patient answers questions regarding health history when asked but is otherwise silent and does not maintain eye contact
 
  Being culturally sensitive, the nurse recognizes that the patient's actions are most likely a(n):
  a. sign of respect for the wisdom and exper-tise of the nurse.
  b. indication that he has no questions re-garding the care he is receiving.
  c. expression of discomfort discussing per-sonal matters.
  d. means of communicating his dissatisfac-tion with his care.

Question 2

The nurse working at a long-term care facility notes that one patient who is usually outgoing refuses to participate in games that require keeping score. What action by the nurse is best?
 
  a. Ask the patient why he or she won't participate.
  b. Assess the patient's level of frustration with these activities.
  c. Find other activities for the patient to participate in.
  d. Do nothing; the patient can choose activities to engage in.

[Bsand8]

Answer to Question 1

A
Asian cultures generally view eye contact as rude and are often passive in their care. The patient may or may not have further questions. It is not a sign of discomfort or dissatisfaction.

Answer to Question 2

B
Although it is true that patients should be able to choose activities in which to participate, the best option is to assess the patient for frustration or anxiety associated with these types of activities. Once that is determined, the nurse can find other activities the patient can engage in successfully and is willing to participate in if the games are not an option. Asking why questions often puts people on the defensive and is not a therapeutic communication technique.