important aspects of Native American communication is extremely helpful for nurse practitioners who wish to establish a mutually satisfying relationship with Native American patients. Nonverbal communication is very important to understand when communicating with Native Americans. Native Americans are comfortable with long periods of silence, and interest is shown through attentive listening skills (Flowers, 2005). It is important to allow them time to answer question so that they can carefully consider and think about what they want to communicate. When trying to elicit information on a patient’s health status, nurses should use declarative statements such as, “You have a cough that keeps you awake at night,” and then allow time for the patient to respond to the statement (Flowers, 2005). Native Americans find that direct eye contact and talking in a loud voice rude and value their personal space. Utilizing the Heritage Assessment Tool will help establish the degree which the individual identifies with their heritage. Targeted questions for building a health history from the young Native American should focus on why he has anxiety. The family history of diabetes and hypertension is important but only if it is the cause for his anxiety. Alcoholism should be reflected on more since the gentleman reports use of alcohol for treating his anxiety and that the abuse of alcohol and other drugs are the highest among Native Americans than other ethnic groups. Asking the gentleman if he has seeked advice from a skilled healer is of great importance as well in order to avoid possible adverse reactions between both treatments. Five questions for this individual are:
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- Spring '18