Which communication style would be most effective to use during ...

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Which communication style would be most effective to use during an assessment interview with an adult Native American patient?
 
  a. Open and friendly; ask direct questions; touch the patient occasionally for reassurance.
  b. Frequent nonverbal behaviors such as gestures, smiles, and making a wry face to express negatives.
  c. Soft voice; break eye contact occasionally; general leads and reflective techniques.
  d. Loud voice; unbroken eye contact; minimal gestures; direct questions.

Question 2

When a defendant is arraigned, she demonstrates bizarre behavior, talking to unseen people, failing to respond to questions asked by the judge, and shouting obscenities during the proceedings.
 
  The judge orders an evaluation by a forensic nurse examiner. The information of highest priority the examiner will be asked to provide for the court is an assessment of: a. the defendant's competence to proceed with trial.
  b. the cause of the defendant's courtroom behavior.
  c. the defendant's mental state at the time of the crime.
  d. the defendant's history and cognitive abilities.

[LegendaryAnswers]

Answer to Question 1

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

Answer to Question 2

A
Competence to proceed is defined as the capacity to assist one's attorney and to understand legal proceedings. In the United States, no one is tried unless deemed to be competent. An incompetent individual is remanded to a locked facility for treatment to regain competency. The court will desire a full assessment of the patient's present mental state related to his ability to assist in his own defense, but at this time, the court is not interested in his state of mind at the time of the original crime, nor his history.

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TYSM

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