Traditional Chinese values put the family and society over the individual. A traditional deference to authority may produce miscommunication. For example, patients may nod their head to indicate understanding and agreement, but they may be simply deferring to authority. It is important to be sure they understand what is being said and are not just being polite.
(Additional References for the section: Chen, 1994; Dai & Dimond, 1998; Huff & Kline, 1999; Loo, 1998; Lum, 1995; McLaughlin & Braun, 1998; Sue, et al., 1979; Tanjasiri et al, ; Yee [Ed], 1999; Yee & Weaver, 1994;)