While teaching an Asian client about prenatal care, the nurse notes that the client refuses to make eye contact. Which is the most likely cause?
a. A submissive attitude
b. Lack of understanding
c. Embarrassment about the subject
d. Cultural beliefs about eye contact
ANS: D
The nurse must understand that making eye contact means different things in different cultures. The nurse should have a basic understanding of normal responses of various cultures within her community. Asians believe that eye contact shows disrespect, not submission. Many Asian women may nod and smile during client teaching, but this does not show understanding. They are responding that they heard you; validation of information is important. Modesty is important in some cultures, but the main response with this questions is the cultural beliefs.
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