Factors that predispose Eskimos to risk as a result of the consumption of large quantities of sugar.

Full Answer Section

• Genetic Predisposition: Some studies suggest that populations with a history of low sugar intake may have genetic adaptations that make them more susceptible to the negative health effects of sugar consumption, such as:
  • Increased risk of type 2 diabetes: The body may struggle to regulate blood sugar levels efficiently when flooded with sugar.
  • Obesity: High sugar intake can contribute to weight gain and obesity, a risk factor for various health problems.
  • Dental problems: Sugar consumption can contribute to dental cavities, particularly if access to dental care is limited.

B. Strategies for Communicating with a Japanese American Family

Effective communication with a Japanese American family requires cultural sensitivity. Here are some useful strategies:

• Respect for Hierarchy: Japanese culture emphasizes respect for elders and authority figures. Use respectful language and address family members appropriately.
• Indirect Communication: Japanese communication can be indirect, with nonverbal cues like silence or bowing conveying meaning. Pay attention to body language and allow for pauses in conversation.
• Family-Centered Approach: Healthcare decisions often involve the entire family. Include all relevant family members in discussions and respect their input.
• Use of a Translator: If fluency in Japanese is limited, consider using a culturally competent translator to ensure clear communication.

C. Appropriate Distance for a Russian American Client

Physical space preferences vary by culture. Generally, Russians tend to prefer a slightly larger personal space bubble than Americans. Here's a guideline:

• Social Distance (1.2 – 4 feet): This is the typical distance for a conversation with a patient. It allows for a personal interaction while maintaining a respectful space. Be mindful of the patient's comfort level and adjust accordingly.
• Intimate Distance (less than 1.2 feet): This is reserved for close relationships and physical contact. Avoid entering this space unless explicitly invited by the patient.

Additional Tips:

• Nonverbal Cues: Maintain eye contact but avoid being overly staring. A firm handshake and professional posture are appropriate.
• Direct Communication: Russians generally appreciate direct communication, but avoid being overly blunt.
• Respect for Titles: Use titles and surnames when addressing patients until they offer a more informal approach.

Remember, these are general guidelines. Observing the patient's nonverbal cues and adapting your communication style accordingly will ensure a more comfortable and productive interaction.

Sample Answer

A. Factors Predisposing Eskimos (Inuit) to Risks from High Sugar Consumption

While the term "Eskimo" is no longer preferred by many Inuit communities, we can address the factors that predispose them to risks from high sugar consumption:

• Traditional Diet: Historically, the Inuit diet was very low in sugar and carbohydrates, consisting primarily of fish, marine mammals, and limited plant-based foods. This resulted in a lower metabolic capacity to process large amounts of sugar.