A Korean-American patient showed rare eye contact This nursing ...

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A Korean-American patient showed rare eye contact
 
  This nursing diagnosis was formulated: Chronic low self-esteem related to shame and guilt as evidenced by lack of eye contact. Interventions were sought to improve the patient's self-esteem, but after 3 weeks the patient's eye contact was unchanged. Select the accurate analysis of this scenario.
  a. The patient's poor eye contact indicated anger and hostility that did not resolve.
  b. The nurse should have assessed the patient's culture before formulating this diagnosis and plan.
  c. Resolution of shame and guilt cannot be expected to occur in 3 weeks. The nurse should allow more time.
  d. The patient's eye contact should have been directly addressed by role-playing to increase comfort with eye contact.

Question 2

Which goal is most likely to be chosen by the nurse for a patient who uses the interpersonal model as a basis for practice?
 
  a. The patient will develop mature, satisfying relationships that are relatively free of anxiety.
  b. The patient will rid himself of irrational beliefs, including shoulds, oughts, and musts.
  c. The patient will learn to meet basic needs responsibly.
  d. The patient will manage stress adaptively.

[nixon_s]

Answer to Question 1

B
The amount of eye contact a person engages in is often culturally determined. In some cultures eye contact is considered insolent, whereas in others eye contact is expected and valued. Korean-Americans often prefer not to engage in direct eye contact.

Answer to Question 2

A
The goal of interpersonal therapists is to assist the patient in developing healthy interpersonal relationships that are relatively anxiety-free. The other distracters state a goal appropriate for cognitive therapy, reality therapy, and stress management therapy, respectively.

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Thank you

[nixon_s]

No problemo