The school nurse is working with children from various cultures. The nurse notices that one of the foreign-born students seems to be silent and avoids eye contact with the principal, teachers, and other adults

The nurse decides to do further assessment before reaching a conclusion about the cause of this behavior. Which of the following is the most likely cause of the silence and avoiding eye contact? a. one of the depressive disorders c. poor English language skills
b. low self-esteem d. cultural norms


D

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A Incorrect: A depressive disorders is not the most likely cause of the silence and avoiding eye contact in a foreign-born child.
B Incorrect: Children with low self-esteem may tend to be silent and avoid eye contact; however, this student is foreign-born.
C Incorrect: Poor English language skills are not the most likely cause of the silence and avoiding eye contact.
D Correct: Children from many cultures are encouraged to be silent and to avoid direct eye contact then in the presence of authority figures. These behaviors can easily be misinterpreted as indicators of depression.

Nursing

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