A Korean-American Patient Showed Rare Eye Contact

A Korean-American patient showed rare eye contact. This nursing diagnosis was formulated: Chronic low self-esteem related to shame and guilt as evidenced by lack of eye contact. Interventions were sought to improve the patient's self-esteem, but after 3 weeks the patient's eye contact was unchanged. Select the accurate analysis of this scenario.

A) The patient's poor eye contact indicated anger and hostility that did not resolve.
B) The nurse should have assessed the patient's culture before formulating this diagnosis and plan.
C) Resolution of shame and guilt cannot be expected to occur in 3 weeks. The nurse should allow more time.
D) The patient's eye contact should have been directly addressed by role-playing to increase comfort with eye contact.