The nurse caring for a Navajo woman notices the client is often quiet when she is attempting to interact with her. What inferences can best be made about this behavior?
1. The client likely does not understand the nurse's attempts to engage her.
2. The client is demonstrating disapproval with the nurse through the use of silence.
3. The client is uneasy speaking with the nurse without the male head of her household.
4. The client is illustrating agreement with the nurse's actions by using silence.
4
Rationale 1: There is no indication the client is having difficulty understanding the interaction.
Rationale 2: There is no indication the client is failing to agree with the nurse.
Rationale 3: There is no indication the client is having difficulty speaking with the nurse without the male head of her household.
Rationale 4: The use of silence in the Navaho culture indicates agreement. In differing cultures silence may indicate a lack of understanding, disapproval, or discomfort.
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