A nurse is presenting healthy living information to a group of older adults. Which of the following vaccines should the nurse recommend?

A. Client smiles and nods at the nurse: Smiling and nodding can be polite social gestures that do not necessarily reflect comprehension, especially when the client and nurse do not share a common language. These nonverbal cues might simply indicate that the client is listening or being courteous, rather than fully understanding the teaching content.

B. Client makes eye contact with the nurse frequently: Eye contact varies significantly across cultures; some cultures view direct eye contact as respectful, while others may see it as disrespectful or confrontational. Therefore, frequent eye contact is not a reliable indicator of understanding, especially in cross-cultural communication.

C. Client has no questions for interpreter: The absence of questions could indicate multiple possibilities, such as the client feeling hesitant to speak up, lack of understanding of the information, or cultural norms that discourage questioning authority figures. Silence alone does not confirm comprehension of the teaching.

D. Client points to objects on printed resources when nurse is speaking: Active participation, such as pointing to objects on visual aids or printed materials, shows that the client is processing and connecting the teaching information to tangible items. This behavior demonstrates engagement and comprehension.

A. Determine each member's role in the family: This method directly assesses how the family functions as a unit, including dynamics such as communication, decision-making, hierarchy, and caregiving responsibilities—core elements of the family systems approach.

B. Review the Healthy People objectives for family health: While useful for setting public health goals, this approach is broad and population-focused and does not provide specific insights into the functioning of an individual family unit.

C. Complete a three-generation genogram of the family: A genogram maps biological and health histories across generations, which helps with identifying patterns of disease or risk but does not specifically evaluate family functioning or roles.

D. Conduct a windshield survey of the family's community: A windshield survey helps assess community-level environmental factors but does not give information about internal family dynamics or functioning as emphasized in the family systems approach.