A nurse working with a Filipino American client has noted that the client rarely makes eye contact
during their interactions.
The nurse hypothesizes that the reason for lack of eye contact is client low
self-esteem and plans interventions designed to raise the client's self-esteem. After 3 weeks the
client's eye contact has not improved. The nurse's clinical supervisor suggests that a problem exists
with the assessment and plan. The most accurate formulation of the problem is
a. the client's poor eye contact is indicative of anger and hostility that are going
unaddressed.
b. the client's eye contact should have been directly addressed by role playing to
increase comfort with eye contact.
c. the nurse should have considered the client's culture during the assessment and
before making a plan.
d. the nurse should not have independently embarked on assessment and planning.
ANS: C
The amount of eye contact a person engages in is often culturally determined. In some cultures eye
contact is considered insolent, whereas in others eye contact is expected. Filipino Americans often
prefer not to engage in direct eye contact.
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