The Nurse Caring for a Navajo Client Notes a Lack

The nurse caring for a Navajo client notes a lack of verbal communication when attempting to interact with the client. Which inference can be made about this behavior?

A) The client likely does not understand the nurse's attempts to engage her.
B) The client is demonstrating disapproval with the nurse through the use of silence.
C) The client is uneasy speaking with the nurse without the male head of her household.
D) The client is illustrating agreement with the nurse's actions by using silence.