A nurse is conducting a health assessment for a client who identifies as Native American. The nurse notices that the client avoids eye contact during the interview. How should the nurse interpret this behavior?

Rationale: The nurse demonstrates cultural competence by using an interpreter to communicate with the client and family, ensuring that the information is conveyed accurately and respectfully, and that the client's preferences and needs are understood.

Incorrect options:

B) Asking the client to teach the nurse some words in Mandarin. - This is not a culturally competent action, as it may put undue pressure on the client to educate the nurse, and it may not be relevant to the client's health care needs.

C) Assuming that the client follows traditional Chinese beliefs and practices. - This is not a culturally competent action, as it may lead to stereotyping and ignoring the individuality and diversity of the client.

D) Giving the client a pamphlet about American health care system. - This is not a culturally competent action, as it may imply that the American health care system is superior or more desirable than the client's own culture and values.

Rationale: The nurse should interpret the client's behavior as showing respect and deference, as this is a common cultural norm among some Native American groups. Eye contact may be considered intrusive or aggressive in some cultures, and avoiding eye contact may indicate respect for authority or elders.

Incorrect options:

A) The client is shy and nervous. - This is not a correct interpretation, as it may reflect the nurse's own cultural bias or assumption, rather than the client's actual feelings or intentions.

B) The client is disrespectful and rude. - This is not a correct interpretation, as it may reflect the nurse's own cultural bias or assumption, rather than the client's actual feelings or intentions.

D) The client is hiding something or lying. - This is not a correct interpretation, as it may reflect the nurse's own cultural bias or assumption, rather than the client's actual feelings or intentions.