A nurse is planning a health promotion program for a group of clients who are refugees from Syria. The nurse wants to incorporate some culturally relevant strategies to enhance the clients' participation and engagement. What should the nurse do?

Rationale: The nurse should use a professional interpreter, preferably one who is trained and certified in health care, to ensure accurate, clear, and culturally appropriate communication and education with the client. A professional interpreter can also help to maintain the client's privacy, confidentiality, and dignity.

Incorrect options:

A) Use simple words and gestures to communicate with the client directly - This is an ineffective way to communicate with the client, as it may lead to misunderstanding, confusion, or frustration. It may also convey a lack of respect or professionalism from the nurse.

B) Ask the client's son to translate the instructions for the client verbally - This is an inappropriate way to communicate with the client, as it may compromise the quality and accuracy of the information. The client's son may not be familiar with medical terminology, may omit or alter some details, or may have a personal bias or agenda.

C) Provide written instructions in both English and the client's native language - This is an insufficient way to communicate with the client, as it may not address the client's literacy level, comprehension level, or learning style. It may also not allow for feedback or clarification from the client.

Rationale: The nurse should be aware that different cultures have different norms and expectations regarding eye contact and communication styles. In some Indigenous cultures, avoiding eye contact and speaking in a low voice are considered respectful or humble behaviors, especially when interacting with someone in a position of authority or expertise.

Incorrect options:

A) As signs of anxiety or fear - This is a misinterpretation of the client's behaviors, as they may not reflect their emotional state. The nurse should not assume that the client is anxious or fearful without further assessment or evidence.

C) As signs of dishonesty or evasion - This is a biased interpretation of the client's behaviors, as it reflects a negative stereotype or prejudice. The nurse should not judge the client's honesty or credibility based on their eye contact or voice tone.

D) As signs of depression or sadness - This is an inaccurate interpretation of the client's behaviors, as they may not indicate their mood or mental health. The nurse should not diagnose the client with depression or sadness without a comprehensive evaluation or criteria.