The nurse is completing discharge instructions for an Asian American client. The nurse can best evaluate the likeliness of the client to adhere to the instructions by use of which method?
A) Make the client promise to follow the instructions and be compliant with the plan.
B) Ask the client if he or she agrees with the instructions that are outlined.
C) Ask the client if there is anything in the discharge plan that will interfere with compliance.
D) Observe the client's face to see if he or she is smiling, which can be interpreted as compliance.
C
Feedback:
Asian Americans will not openly disagree with people in authority or who possess advanced education. Often, smiling is a sign of harmony not acceptance or proof of compliance in the Asian culture. Agreeing with the plan of care is not the same as "doing" or complaining but finding out if there is anything in the plan of care that the client does not agree to adhere to is a step to establishing a plan of care that is client oriented.
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