Scribd
Upload
130 views

HA-RLE-WS # 8 Assessing Culture

This document provides guidance on assessing culture through analyzing a case study about a 22-year-old Asian female client who presents with abdominal discomfort and vaginal itching and discharge. The nurse is instructed to collect subjective and objective data, identify abnormal findings and strengths, assemble cue clusters, draw inferences, make possible nursing diagnoses, and document conclusions. The case study indicates the client's traditional parents accompany her and are over-involved, while she appears embarrassed and does not want them informed of her medical issues due to lack of understanding from their cultural perspective.

Uploaded by

Ashley Blaise Jore
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
130 views

HA-RLE-WS # 8 Assessing Culture

This document provides guidance on assessing culture through analyzing a case study about a 22-year-old Asian female client who presents with abdominal discomfort and vaginal itching and discharge. The nurse is instructed to collect subjective and objective data, identify abnormal findings and strengths, assemble cue clusters, draw inferences, make possible nursing diagnoses, and document conclusions. The case study indicates the client's traditional parents accompany her and are over-involved, while she appears embarrassed and does not want them informed of her medical issues due to lack of understanding from their cultural perspective.

Uploaded by

Ashley Blaise Jore
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 5

Worksheet 8

Assessing Culture

Read the following case study. Then, work through the steps of analyzing the case study data.

1. First, identify the abnormal data and strengths in subjective and objective findings,
2. Assemble cue clusters,
3. Draw inferences,
4. Make possible nursing diagnoses,
5. Identify defining characteristics,
6. Confirm or rule out the diagnoses, and
7. Document your conclusions.

Use the table below to collect subjective and objective date provided to guide you. Propose nursing
diagnoses that are specific to the client in the case study. Identify collaborative problems, if any, for this
client. Finally identify data, if any, which point toward a medical problem requiring a referral.

Case Study

A 22-year-old Asian female client visits a health care facility complaining of discomfort in her abdomen.

The client is attending graduate school at a local university and lives on campus. Her parents are

concerned, and they accompany her. When the nurse asks them to step out of the room while the

physical exam is being conducted, the parents hesitate for a few minutes and then leave reluctantly.

They come back into the examination room and the father states “I want to know what is wrong with my

daughter.” The client seems embarrassed and states that her parents are very traditional. When the

nurse and the client are alone, the client states that it has been painful for her to urinate. She also states

that she has been having vaginal itching for a week and that there is a “bad” smell “down there.” When

assessing the client further, the nurse observes the client to be very apprehensive and continuously asks

if there is anything wrong. When performing the abdominal exam, the client appears guarded and the

nurse smells a foul odor coming from her perineal area. Upon further assessment, the nurse notices a

discharge on the client’s underwear. The client states “Please don’t tell my parents—they will not

understand.”

Questions:
a. How should the nurse assure the client that she is an adult and that, according to the privacy

laws, the health care team will not relay any medical information to her parents unless she

agrees to it?

b. In assessing clients of different cultures, what important aspects of cultural competence are

necessary for the nurse to know

NURSING INTERVIEW GUIDE TO COLLECT SUBJECTIVE DATA


QUESTIONS FINDINGS
Biographical Data
Name (use Code Name or Alyas)

Gender

Address, Phone Number

Date and Place of Birth

Nationality or Ethnicity

Marital Status

Religious or Spiritual Practices

Primary and Secondary Languages spoken,


written, and read; Birth Language
Educational Level

Occupation and Working Status

Who lives with the client? Identify significant


others
Caregivers and support people for the client

Current Symptoms (Ask Client)


1. What has brought you to the clinic today?

2. What do you believe has caused this illness?


3. What have you done to treat it? Are there
family remedies that you usually use for this
illness? Have they worked for other family
members of for you in the past?

4. What do you believe that health care providers


can do that will help you?

5. Are you taking any medications? Do you have


allergies or reactions to any medications or
foods?

Affect and Behaviors (Observed)


1. Does affect corresponds to verbal expressions?

2. Does pattern of eye contact correspond to the


client’s culture or to the majority culture?

3. Does the client divulge information readily or


with reluctance?

4. Does the client seem to accept you (gender,


age) as a caregiver?

5. Does space appear to be an issue with the


client?

6. Are there any other communication patterns


that seem to be relevant to this interview?

Past Health History


1. What has been your experience with health
care professionals in the past?

2. Have you used community caregivers?

3. Have you had any illnesses like this one


before?

4. Do you have or have you experienced any


other illnesses in the past?

5. what types of illnesses have gotten you to go


to a doctor or nurse in the past?

Family History
1. How many family members live in the
community? In the household?

2. Are the family members healthy? Have


illnesses? Able to provide support to you?

Lifestyle and Health Practices


1. Do you believe that exercise is important to
health?

2. Do you smoke? Drink alcohol? If yes, how


much or how often?
3. Do you participate in religious practices? Do
your beliefs and practices provide strength
and comfort? Are they essential to your well-
being?

4. Do you have beliefs that would conflict with


treatments or procedures?

5. What type of diet do you eat? Is it restricted


in any way by religious or cultural beliefs?
Are there foods that you can believe help to
make you healthy? Ill?

Analysis
Formulate nursing diagnoses

Formulate collaborative problems

You might also like