The document describes an 86-year-old Asian male patient who is dependent on his daughter for financial and caregiving support. However, the daughter is a widow with limited resources to fully care for her father. The first step for the nurse practitioner is to develop a trusting relationship with the patient through effective communication and consideration of cultural and socioeconomic factors to accurately assess the patient's health needs. These include the patient's financial difficulties, lifestyle, and cultural beliefs as an Asian individual that may influence his health. The nurse practitioner should apply cultural competence to address the unique needs of the patient.

1. The scenario is that of an 86-year-old Asian male patience that
depend on his daughter for financial assistance, and in taking
care of him . However, his daughter is a widow without enough
resources or the ability to fully take care of her father. She is
poor herself. Improving the quality of life for the old Asian
male by identifying his most important health needs and
recommendation through thorough health assessment is key.
Older adults being more vulnerable to diseases due to low
immunity, should be considered for a safe socioeconomic,
cultural, spiritual and lifestyle that may prolong their life.
The first step is for the Nurse Practitioner to develop a
respectful and trusting relationship with the patient, in other to
obtain a detailed and accurate health history, making sure to use
available translator if the patient does not speak English. The
future PMHNP should engage in effective communication, such
as patience and active listening because the Patient may need
more time to process information before answering questions.
Also, the NP should not use judgmental or non-patronizing
language, in other to develop a connection with the patient
(Ball, 2015).
Specific socioeconomic, spiritual, lifestyle, and other cultural
factors related to the health of the patient
Socioeconomic factors
: The 86 year old man is financially unable to provide for
himself, and is dependent on his daughter, who is a widow and
is financially unable to provide for her father, therefor, the
patient is socio-economically poor, and may lack a good living
standard in relation of having balanced diet, meeting medical
expenses and other maintenance that may improve his quality
life. The NP has to consider these socio-economic factors while

2. assessing the Patient.
Lifestyle Factor
: due to low income status, and lack of financial support from
his daughter, the 86 year old Asian man most like lives a low
and poor quality of life, which may have contributed to his
detoriating health status, lack of of constant medial care, good
nutrition and clean healthy environment. The treatment and
recommendation from the NP should factor the patient’s
lifestyle during treatments.
Cultural factors
: Culturally, Asians are known to be very reserved and secretive
when it comes to personal health. Such strong cultural factor
may influence the patient’s decision is not open about his needs
to his daughter and subsequently, to a healthcare professional,
The NP must figure out a way to gain his trust. Also, culturally,
Asians are mostly group-oriented people that place importance
on family connection as the primary source of identity
(Carteret, 2010). Asian children are also known to take care of
their elderly parents, but in this scenario, the patient’s daughter
is equally poor and has difficulty fulfilling her role of a
provider and may create emotional burden both for both parties.
Religious and cultural practices such as Buddhism for Asians
should also be incorporated in managing health.
The Nurse Practitioner may need to make referral to community
resources to additional financial and physical needs for the
patient and his daughter. The NP should maintain cultural
sensitivity while assessing the patient.
Applying cultural competency and diversity are two important
factors to consider in treating patients. As an NP, we should
have knowledge of different cultural backgrounds, and apply it
to the unique needs of the patients while delivering high-quality
care. Being culturally competent helps in developing a trusting

3. relationship between the patient and health care provider. This
includes being reflective and aware of your own feelings,
biases, experiences, and lack of knowledge (Ball, 2015).
Cultural competence in nursing involves being curios of, and
respect for a patient’s beliefs and values (Ball, 2015).
Targeted questions:
Can you tell me about your current medical history and
concern?
What is your source(s) of income?
Have you inquired with the county offices regarding additional
financial and medical resources?
What specific things make you feel like you are being a burden?
Do you need assistance with activities of daily living such as
eating, bathing, toileting, or getting dressed?
References:
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., &
Stewart, R. W. (2015).
Seidel's guide to physical examination
(8th ed.). St. Louis, MO: Elsevier Mosby.
Carteret, M. (2010). Cultural Values of Asian Patients and
Families.
Divi
. Retrieved from
http://www.dimensionsofculture.com/2010/10/cultural-values-

4. of-asian-patients-and-families/
Centers for Disease Control and Prevention. (2015).
Cultural competence
. Retrieved from
https://npin.cdc.gov/pages/cultural-competence
Dains, J. E., Baumann, L. C., & Scheibel, P. (2016).
Advanced health assessment and clinical diagnosis in primary
care
(5th ed.). St. Louis, MO: Elsevier Mosby.
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