I concur with your consideration of language barriers as a primary cultural consideration. Ineffective communication can not only impair the accuracy of the assessment, it can damage your professional credibility. Asian Americans expect the nurse to be knowledgeable regarding their needs, and why they are being seen. Because gentle probing may be required to really determine whether intimate partner violence exists, and to what extent, the ability to effectively communicate plays a significant role in determining the success of the encounter, and in getting the person supportive services, and resources, that are appropriate to meet their needs.