A Filipino-American Patient Avoided Eye Contact When Interacting with the Nurse

A Filipino-American patient avoided eye contact when interacting with the nurse. The nurse concluded that the patient had low self-esteem. Interventions were used to raise the patient's self-esteem; however, after 3 weeks, the patient's eye contact did not improve. What is the most accurate analysis of this scenario?

A) The patient's eye contact should have been directly addressed by role-playing to increase comfort with eye contact.
B) The nurse should not have independently embarked on treatment planning for this patient.
C) The patient's poor eye contact is indicative of anger and hostility that remain unaddressed.
D) The nurse should have assessed the patient's culture before concluding the patient had low self-esteem.