During an intake, Hiroshi Ito, 79, who immigrated from Japan, gives brief answers about his health and finances and often looks to his eldest son to respond. There are no signs of fear or coercion. What should the CSA do FIRST?
Show answer & explanation
Answer: C
Ask the son to step out so Mr. Ito can speak more freely: Reasonable if coercion were suspected, but there are no such signs; doing it first may override a cultural preference he holds.
Direct the remaining questions to the son, who seems to handle family matters: Assumes the son is the decision-maker without asking Mr. Ito, bypassing the client.
Ask Mr. Ito how he prefers decisions to be made and whom he wants involved: Correct. Family-centered decision-making may reflect his cultural values; asking him directly respects both his culture and his autonomy before any assumption is made.
Note that he is withholding information and schedule a second intake: Misreads a cultural communication style as evasiveness.
Interpret behavior in cultural context and ask the client how he wants decisions made before changing the process.