In the Asian culture, they have a formal respect system where they maintain a distance from others. Many are uncomfortable with a direct eye to eye contact. The patient is not being rude, they are only doing as their culture dictates. With this being said, the nursing action that is most appropriate is to continue with the instructions and conversation. If the nurse decides to walk around to face the patient, this is considered a direct conflict in their culture. Do not stop giving the instructions on the stool specimen and offer the patient to come back as they will be offended. Also, never tell the Asian patient to look at you as you are talking as they may find it degrading. So the answer to the question is; continue with the instructions and verify that the client understands.