MR, a 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking "pot" and says he drinks to help himself too. He tells you he is afraid that he will not get into heaven if he continues in this lifestyle. He is not taking any prescriptions medications and denies drug use. He has a positive family history of diabetes, hypertension, and alcoholism.

To prepare:

• Reflect on your experiences as a      nurse and on the information provided in this week’s Learning Resources on      diversity issues in health assessments.
• By Day 1 of this week, you will      be assigned a case study by your Instructor. Note:      Please see the “Course Announcements” section of the classroom for your      case study assignment.
• Reflect on the specific      socioeconomic, spiritual, lifestyle, and other cultural factors related to      the health of the patient assigned to you.
• Consider how you would build a      health history for the patient. What questions would you ask, and how      would you frame them to be sensitive to the patient’s background,      lifestyle, and culture? Develop five targeted questions you would ask the      patient to build his or her health history and to assess his or her health      risks.
• Think about the challenges      associated with communicating with patients from a variety of specific      populations. What strategies can you as a nurse employ to be sensitive to      different cultural factors while gathering the pertinent information?

Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.