The nurse is providing discharge instructions to an Asian-American client regarding prescribed dietary modifications. During the teaching session, the client continuously turns away from the nurse
Which of the following nursing actions is most appropriate? 1. Continue with the instructions verifying client understanding.
2. Walk around to the client so that you continuously face the client.
3. Identify the importance of the instructions for the maintenance of health care.
4. Give the client a dietary booklet, and return later to continue with the instruc-tions.
1
Rationale: Most Asian-American individuals maintain a formal distance with each other, which is a form of respect. Many are uncomfortable with face-to-face communications, especially when there is direct eye contact. If the client turns away from the nurse during a conversation, the best action is to continue with the conversation. Walking around to the client so that the nurse faces the client is in direct conflict with cultural practices. Identifying the importance of the instruc-tions for the maintenance of health care may be viewed as degrading. Returning later to continue with the explanation may be viewed as a rude gesture.
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