Nursing Process Exam Questions Related

Review Nursing Process Exam Questions related questions and content

While interviewing an older female patient of Asian descent, the nurse notices that the patient looks at the ground when answering questions. What should the nurse do?

  • A. Consider cultural differences during this assessment.
  • B. Ask the patient to make eye contact to determine her affect.
  • C. Continue with the interview and document that the patient is depressed.
  • D. Notify the health care provider to recommend a psychological evaluation.
Correct Answer: A

Rationale: The correct answer is A: Consider cultural differences during this assessment. In many Asian cultures, avoiding direct eye contact is a sign of respect rather than depression. The nurse should be culturally sensitive and understand that different cultures have varying communication norms. By considering cultural differences, the nurse can build rapport and trust with the patient. Asking the patient to make eye contact (B) may be perceived as disrespectful and may hinder effective communication. Continuing with the interview and assuming depression (C) without further assessment is premature and may lead to misdiagnosis. Notifying the health care provider for a psychological evaluation (D) is not necessary at this stage as the behavior observed may be culturally influenced.