Cindy Chen, a 28-year-old Asian female complaining of the inability to sleep and nervousness, arrives at the office. She tested positive for HIV in 2005. Currently, she lives with her aunt and is going to school to become a phlebotomist. She has lost 20 pounds since her last visit to the clinic. She also has had a persistent cough and sore throat for the last 3 months. The physician orders a series of blood tests, including the helper T-cell test and a throat culture. Dr. Whalen asks you to send the throat culture to the reference lab for culture instead of doing a rapid strep test in the office. After drawing Cindy’s blood, you leave her lab requisition on the counter at the front of the lab while you escort her to the front office. When you return, Charlie Goodpasture is waiting to have his blood drawn for routine lab work. You notice he is glancing at the lab requisition you left on the counter. He asks you if that was Cindy Chen he saw. He also tells you that he knew Cindy from phlebotomy school and she has lost a lot of weight. Charlie asks if Cindy is sick. How should you handle this situation? What should you have done differently?

9, 5, 10000000 ( that is supposed to be a ten for the last one)

low context culture   (lc.):

association:    

relationships begin and end quickly. many people can be inside one's circle; circle's boundary is not clear.

things get done by following procedures and paying attention to the goal.

one's identity is rooted in oneself and one's accomplishments.

social structure is decentralized; responsibility goes further down (is not concentrated at the top).

interaction:

low use of nonverbal elements. message is carried more by words than by nonverbal means.

verbal message is explicit. context is less important than words.

verbal message is direct; one spells things out exactly.

communication is seen as a way of exchanging information, ideas, and opinions.  

disagreement is depersonalized. one withdraws from conflict with another and gets on with the task. focus is on rational solutions, not personal ones. one can be explicit about another's bothersome behavior.

territoriality:

space is compartmentalized and privately owned; privacy is important, so people are farther apart.

temporality:

things are scheduled to be done at particular times, one thing at a time. what is important is that activity is done efficiently.

change is fast. one can make change and see immediate results.

time is a commodity to be spent or saved. one’s time is one’s own.

learning:

reality is fragmented and compartmentalized. one source of information is used to develop knowledge. thinking is inductive, proceeds from specific to general. focus is on detail.

learning occurs by following explicit directions and explanations of others.

an individual orientation is preferred for learning and problem solving.

speed is valued. how efficiently something is learned is important.

hope that                                         : )