The communication style that would be most effective for a ...

[Chloeellawright]

The communication style that would be most effective for a culturally knowledgeable nurse to adopt
  during an assessment interview with a 40-year-old Native American client would be
 
  a. the frequent use of nonverbal behaviors such as gesturing, smiling, and making
  wry faces to express negatives.
  b. a loud voice, unbroken eye contact, minimal gesturing, and straight-to-the-point
  questions.
  c. to be open and friendly, ask direct questions, and touch the client's arm or hand
  occasionally for reassurance.
  d. a soft voice, breaking eye contact occasionally, with general leads and reflective
  techniques.

Question 2

The nurse notes that an assigned client expresses the wish to be taken care of and that the client
  often behaves in a helpless fashion. The client can be assessed as having needs related to the stage of
  psychosexual development termed the
 
  a. latency stage.
  b. phallic stage.
  c. anal stage.
  d. oral stage.

[Jayson]

Answer to Question 1

ANS: D
Native American culture stresses living in harmony with nature. Cooperative, sharing styles rather
than competitive or intrusive approaches are preferred; thus the more passive style described in
option 4 would be best received. The other options would be more effective to use with clients with
a Western orientation.

Answer to Question 2

ANS: D
Fixation at the oral stage sometimes produces dependent infantile behaviors in adults. Option A:
Latency fixations often result in difficulty identifying with others and developing social skills,
resulting in a sense of inadequacy and inferiority. Option B: Phallic fixations result in having
difficulty with authority figures and poor sexual identity. Option C: Anal fixation sometimes results
in retentiveness, rigidity, messiness, destructiveness, and cruelty.

[Chloeellawright]

Excellent

[JaynaD87]

TYSM