Answer for question 4.18 is C. Brandon, Medina,Wang(no way you can be wrong) got it right. In the Chinese community, cancer traditionally has been the “unspeakable” diagnosis from which older patients of Chinese origin are usually shielded (SOE=B). Disclosure is more complex than simply whether or not to tell the truth: the issue encompasses how and whom to tell. Early in the primary care relationship, the clinician should have a discussion with each patient of Chinese origin about his or her preferences in the event of a serious diagnosis or condition. This would help frame discussion with family members in the future, should the need arise. Establishing the patient’s preferences is of particular relevance, because Chinese Americans have high rates of colorectal, liver, and lung cancer than other Asian ethnic groups (SOE=B). Other diagnoses, including AIDS, do not carry the same stigma and are less likely to prompt the nondisclosure discussion with the family (SOE=C).
Posted on: Wed, 21 Aug 2013 23:26:52 +0000
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