During the admission interview, the culturally diverse client averts her eyes and refrains from answering questions for long periods of time. The culturally sensitive nurse should take which action?
1. Come back at a different time, when the client is feeling more communicative.
2. Have another nurse finish the interview, as there is something uncomfortable the client senses.
3. Understand that this may be completely appropriate and take cues accordingly.
4. Leave the room and come back after having learned more about this particular culture.
Correct Answer: 3
Rationale 1: The nursing interview is the nurse's responsibility and should not be postponed for what the nurse perceives as the client's reluctance to communicate.
Rationale 2: The nurse is responsible for the admission interview and it should not be avoided for reasons of discomfort.
Rationale 3: Nonverbal communication includes silence, touch, eye movement, facial expressions, and body posture. Some cultures are quite comfortable with long periods of silence. Many people value silence and view it as essential to understanding a person's needs or use silence to preserve privacy. Before assigning meaning to nonverbal behavior, the nurse must consider the possibility that the behavior may have a different meaning for the client and family.
Rationale 4: The admission history can not be postponed in order for the nurse to improve his or her cultural awareness.
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