One of the first and most noticeable mistakes is simply how we greet people. Westerners are taught to use a firm, assertive, handshake, look someone directly in the eye, offer a business card with one hand, and with minimal social exchange get directly to the business at hand.

1. 文段中那个逗号应该是误印；

2. 结构是

to use sth, to look sb, to offer sth with XX, and (with YY,) to get sth

没有这个and, 几个动词（其实是to do）就散了。本质还是A，B and C的连接方式。

后一个with短语，实际是前置了。

3. 词汇

get to = start to deal with sth； 

get directly to 直截了当或开门见山地去处理某事

social exchange 社交寒暄

at hand = 近在手边的；需处理的