Why might the gentleman, of Jewish heritage, not shake the female healthcare provider’s hand?

What assumption is made int he scenario?

A female healthcare provider is meeting a couple of Jewish heritage for the first time. The healthcare provider puts her hand out to shake the gentleman’s hand, and he politely refuses. The female healthcare provider then says “Oh, yes flu season I completely understand.”
Why might the gentleman, of Jewish heritage, not shake the female healthcare provider’s hand?
How might you have handled this situation differently?

A family, of Cuban heritage, is gathered in the waiting room waiting to visit their ill family member in the hospital. The family member‘s voices are loud and they are gesturing in a very animated nature. A healthcare provider enters the space and asks to speak to the patient’s spouse. The healthcare provider asks the spouse “Is everything okay? I notice you all seem upset or angry?”
What assumption is being made by the healthcare provider? How might the nurse handle this situation differently? What words would she use? How would she phrase her questions?

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