Author Question: You have been providing culturally competent care to a client at a mental health clinic for several ... (Read 157 times)

olgavictoria · **on:** Jul 19, 2018

You have been providing culturally competent care to a client at a mental health clinic for several years. The client has responded well to the current treatment program.

You observe a student nurse greet this client in the clinic waiting room by the client's first name. When the client starts to walk in the wrong direction, you observe the student nurse's attempt to physically guide the client by touch. The client reacts by flailing the arms and pushing the student nurse away. You help the student nurse to identify the most likely areas that produced miscommunication during this interaction as all EXCEPT which of the following? a. proxemics
b. formal style of interaction
c. use of the client's first name
d. ethnocentric behavior of the student nurse

Question 2

A central problem for people who have personality disorders is:

a. perceptual distortion
b. intellectual capacity
c. interpersonal difficulties
d. sensory overload

mbcrismon · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
The student's behavior is not considered a formal style of interaction. Touching the client and using the client's first name is considered by many to be very informal. In some cultures doing so in a professional environment could be considered extremely rude. The student nurse should be advised on what would be considered a more appropriate style of interaction between the nurse and a client from this culture.

Answer to Question 2

C
Interpersonal difficulties are a central problem for people who have personality disorders. It is not surprising then that these interpersonal difficulties would extend to the relationship the client has with the nurse as well. Difficulties in establishing a nurse-client relationship, disagreements among treatment staff, reluctance on the part of the nurse to provide care, and difficulty accomplishing treatment objectives are common complaints when dealing with clients who have personality disorders.