A black patient, originally from Haiti, has a diagnosis of major depressive disorder. A colleague tells the nurse, "This patient often looks down and is reluctant to share feelings. However, I've observed the patient spontaneously interacting with other black patients." Select the nurse's best response.

A) "Black patients depend on the church for support. Have you consulted the patient's pastor?"
B) "Encourage the patient to talk in a group setting. It will be less intimidating than one-to-one interaction."
C) "Don't take it personally. Black patients often have a resentful attitude that takes a long time to overcome."
D) "The patient may have difficulty communicating in English. Have you considered using a cultural broker?"

Question

Nikolas Iskandar · Accepted Answer

Final Answer : D, Explanation :  Society expects a culturally diverse patient to accommodate and use English. Feelings are abstract, which requires a greater command of the language. This may be especially difficult during episodes of high stress or mental illness. Cultural brokers can be helpful with language and helping the nurse to understand the Haitian worldview and cultural nuances.

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