An Asian American Patient Rarely Showed Eye Contact

An Asian American patient rarely showed eye contact.This nursing diagnosis was formulated: Situational low self-esteem related to poor social skills as evidenced by lack of eye contact.Interventions to raise the patient's self-esteem were not successful;the patient's eye contact did not improve.Select the best analysis of this scenario.

A) The patient's poor eye contact is indicative of anger and hostility that have not been addressed.
B) The nurse should not have independently assessed,diagnosed,and planned for this patient.
C) The patient's eye contact should have been addressed by role-playing to increase comfort.
D) The nurse should have assessed the patient's culture before making this diagnosis and plan.