The nurse then talked with the client, asked for her recommendations, and encouraged her to return the demonstration. The nurse coached the client through the self-examination process while pointing out that regardless of breast size, shape, and color, the technique is the same for feeling the tissue and squeezing the nipple to make certain that there is no discharge. Because this nurse was culturally aware, she neither became angry with herself or the client nor imposed her own values on the client. Rather, the client talked about her beliefs, attitudes, and feelings about screening for cancer that may have been influenced by her culture. The nurse understood that she had to tailor her teaching material to the needs of diverse client groups. Subsequently, she purchased a model of an African-American woman's breast to be used in future health education programs with African-American women.