Which of the following tips would be useful to an American nurse preparing for a cross-cultural
encounter with a female client from Japan? (More than one answer may be correct.)
A. Anticipate diversity.
B. Promote a feeling of acceptance.
C. Learn what it means to be the client by assessing health beliefs.
D. Facilitate communication by using direct eye contact and a handshake.
E. Remember that all Eastern women adhere to the same cultural norms.
ANS:
A, B, C
Rationale: Options A, B, and C are helpful hints. Option A: Anticipating diversity puts the nurse in a
position of guarding against stereotyping and opens the nurse to cultural awareness. Option B:
Promoting feelings of acceptance prevents cultural pain. Option C: Learning about the position of
the client facilitates empathy. Option D: The least useful strategy would be to use direct eye contact
and touch. In a cross-cultural encounter strategies known to be acceptable to the client are
preferable. When particular strategies have not been identified, try to avoid offending the client.
Direct eye contact and touch may be offensive to clients whose culture calls for more reserved
cultural practices. Option E: This stereotype may lead to culturally insensitive care decisions.
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