While Daines, Baumann, and Scheibel (2016) share in the United States people tend to speak loudly and are direct in conversation the Japanese are the opposite use indirection, and place emphasis on attitudes and feelings instead. Being sensitive to the patients beliefs, and discretion it would be important to ask questions of health related treatments and if he would like his daughter involved. Assessing if there is anything to patient would not like to speak about in regard to his health would be beneficial as well. The health risk assessment would be helpful in determining the participation the patient has in his care. The United States DHHS (2016) shares healthrisks for Asians are gastric cancer, with Asians being two times as likely as non- Hispanic Whites and two times moer likely to die from complications of the disease. Another would be liver disease which is the fifth cause of death and Asians are two times as likely to die, while 50 percent are less likely to die of hear disease Mr. JC is on antihypertensives so adjusting his care is important as it may not follow recommended guidelines and patient centered care is recommended. Important for Mr. JC’s age is immunizations such as the flu vaccine and pneumococcal the United States DHHS further shares 47 percent of Asians receive the pneumococcal vaccine while 72 percent recive the flu vaccine after the age of 65, it also shares suicide is the ninth cause of death in this population so more clarification needs to be sought to Mr. JC’s comment about “not being a burden”. These subjects while important to address may present discomfort on the patients part if he does not have adequate finances to cover healthcare, medications, and dietary requirements for his HTN. It will also be important to address urinary problems related to the chronic prostatitis and if the patient is experiencing any difficulty.