Author Question: A Filipino-American patient had this nursing diagnosis: Situational low self-esteem, related to poor ... (Read 45 times)

washai · **on:** Jul 19, 2018

A Filipino-American patient had this nursing diagnosis: Situational low self-esteem, related to poor social skills as evidenced by lack of eye contact. Interventions were used to raise the patient's self-esteem;

however, after 3 weeks, the patient's eye contact did not improve. What is the most accurate analysis of this scenario?

a. The patient's eye contact should have been directly addressed by role-playing to increase comfort with eye contact.
b. The nurse should not have independently embarked on assessment, diagnosis, and planning for this patient.
c. The patient's poor eye contact is indicative of anger and hostility that remain unaddressed.
d. The nurse should have assessed the patient's culture before making this diagnosis and plan.

Question 2

While talking with a patient with severe depression, a nurse notices the patient is unable to maintain eye contact. The patient's chin lowers to the chest while the patient looks at the floor. Which aspect of communication has the nurse assessed?

a. Nonverbal communication
b. A message filter
c. A cultural barrier
d. Social skills

Anna · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: D
The amount of eye contact in which a person engages is often culturally determined. In some cultures, eye contact is considered insolent, whereas in other cultures, eye contact is expected. Asian Americans, including persons from the Philippines, often prefer not to engage in direct eye contact.

Answer to Question 2

ANS: A
Eye contact and body movements are considered nonverbal communication. Insufficient data are available to determine the level of the patient's social skills or whether a cultural barrier exists.