A nurse is planning to teach a group of clients about diabetes management. The clients are from diverse cultural backgrounds and have different levels of health literacy. Which strategy should the nurse use to ensure effective communication and education?

Rationale: The nurse should interpret these behaviors as expressions of deference and respect, as some indigenous cultures consider direct eye contact and loud speech to be rude or aggressive, especially when interacting with authority figures or strangers.

Incorrect options:

A) The client is being disrespectful and uncooperative. - This is an incorrect interpretation, as it reflects a bias or ethnocentrism on the part of the nurse, who may be imposing their own cultural norms and expectations on the client.

C) The client is feeling anxious and fearful. - This is an incorrect interpretation, as it may be based on a stereotype or assumption that indigenous people are timid or submissive. The nurse should not attribute emotions or feelings to the client without further assessment or evidence.

D) The client is hiding something or lying. - This is an incorrect interpretation, as it may indicate a lack of trust or rapport between the nurse and the client, which can hinder the quality of care. The nurse should not judge or accuse the client based on their nonverbal cues alone.

Rationale: The nurse should use visual aids, demonstrations, and examples to supplement verbal information, as this can help to enhance comprehension, retention, and application of health education among clients who may have language barriers, low literacy skills, or different learning styles.

Incorrect options:

A) Use medical jargon and technical terms to demonstrate expertise and credibility. - This is an incorrect strategy, as it may confuse or intimidate clients who are not familiar with medical terminology or concepts, and create a power imbalance between the nurse and the clients.

C) Use a standardized curriculum and teaching materials for all clients regardless of their culture or literacy level. - This is an incorrect strategy, as it may not address the specific needs, preferences, or values of each client, and fail to account for cultural variations in health beliefs, practices, or behaviors.

D) Use humor, sarcasm, and idioms to make the teaching more engaging and memorable. - This is an incorrect strategy, as it may offend or mislead clients who do not share the same cultural or linguistic context as the nurse, and cause misunderstanding or miscommunication.