Diversity and Health Assessments

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Diversityand Health Assessments


The 23-year-oldmale highlighted in Case Study 3 has various risk factors thatthreaten his health. His ethnicity as a Native American exposes himto some cultural health hazards unique to his community. The NativeAmerican tribe also subscribes to certain religious beliefs that maypose health dangers (Holland &amp Hogg, 2010). Besides, the malepatient leads a lifestyle inherent with risks. His alcohol and drugabuse should be considered when building his medical history. Thepatient seems palpable in the case of hereditary conditions such asdiabetes, alcoholism, and hypertension. The combination of suchfactors paints a clear picture of the patient`s medical history.

During myinteractions with the patient, I would exercise caution whendiscussing his ethnicity. The patient comes from a minority groupdespised and maligned throughout the country (Dobbins, 2013).Therefore, I would be especially sensitive towards his ethnicity soas not to appear uncouth. I would also be sensitive towards hisreligious beliefs. His religious outlook undoubtedly plays asignificant role in his daily life. Therefore, I would avoid mockinghis religion or isolating him by not acknowledging his spirituality(Brannigan, 2012). The patient’s lifestyle is also another aspectthat I would keep in mind. Granted, the patient has made some harmfulpersonal choices. Nevertheless, I would avoid questioning hisjudgment.

The five targetedquestions would be as follows:

  1. Do you have any family history of complications that may have resulted due to cases of alcoholism, hypertension, and diabetes?

  2. Do you suppose any of your current symptoms may have resulted from engaging in drug abuse and smoking?

  3. Do you have regular sleep patterns that allow you an 8-hour cycle each night?

  4. Could you please list any medications that you may have taken to cure previous bouts of eczema?

  5. Have you felt any adverse effects of any sort after participating in certain religious and cultural rites?

To be sensitiveto different cultural factors, a nurse needs to apply variousstrategies. The first pertains to allowing the patient to tell theirstory. It is imperative to avoid leading questions as these oftenlead to misdiagnosis (Wiggins &amp Middleton, 2013). The questionsused should be open-ended and framed in a statement format. This putsthe patient at ease and makes them feel neither invaded nor violated.


Brannigan, M. C. (2012). Cultural fault lines in healthcare:Reflections on cultural competency. Lanham, Md.: Lexington Books.

Dobbins, A. J. (2013). Cultural, ethnic, and religious referencemanual for healthcare providers. Kernersville, NC: JAMARDAResources.

Holland, K. &amp Hogg, C. (2010). Cultural awareness in nursingand health care: An introductory text. London, UK: Hodder Arnold.

Wiggins, J. &amp Middleton, A. (2013). Getting the messageacross: Communication with diverse populations in clinical genetics.Oxford, Miss.: Oxford University Press.

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