A nurse in a mobile health clinic is caring for a client who requires a tetanus immunization and is accompanied by his daughter. The client does not speak the same language as the nurse. Which of the following actions should the nurse take?
Have the client's daughter communicate information about the procedure.
Arrange for a member of the client's community to interpret the teaching.
Identify the client's spoken dialect prior to contacting an interpreter.
Use professional terminology when providing education prior to the procedure.
The Correct Answer is C
Choice A reason: Having the client's daughter communicate information about the procedure is not an action that the nurse should take. The daughter may not be a reliable or accurate interpreter, as she may have limited language skills, lack medical knowledge, or be influenced by her emotions or biases. The nurse should use a qualified interpreter who can ensure the confidentiality, accuracy, and completeness of the communication.
Choice B reason: Arranging for a member of the client's community to interpret the teaching is not an action that the nurse should take. The member of the client's community may not be a qualified or impartial interpreter, as he or she may have a personal or professional relationship with the client, or may have a conflict of interest or a hidden agenda. The nurse should use a professional interpreter who can maintain the boundaries, objectivity, and neutrality of the communication.
Choice C reason: Identifying the client's spoken dialect prior to contacting an interpreter is an action that the nurse should take. This will help the nurse to find an appropriate interpreter who can communicate effectively and respectfully with the client. The nurse should also consider the client's cultural background, preferences, and needs when selecting an interpreter.
Choice D reason: Using professional terminology when providing education prior to the procedure is not an action that the nurse should take. The nurse should use simple and clear language that the client can understand, and avoid using jargon, slang, or idioms that may confuse or offend the client. The nurse should also check the client's comprehension and ask for feedback throughout the communication.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Motor vehicle safety is the topic that the nurse should give priority to, as it is the leading cause of death for adolescents. According to the World Health Organization (WHO), road traffic injuries are the top cause of death among 15- to 19-year-olds globally, accounting for 115 000 deaths in 2019¹. Adolescents are vulnerable road users, especially as drivers, passengers, pedestrians, cyclists, or motorcyclists. The nurse should educate the adolescents about the risk factors and prevention strategies for road traffic injuries, such as wearing seat belts, helmets, and reflective clothing, avoiding distractions, alcohol, and drugs, and following traffic rules and signs.
Choice B reason: Sports injury prevention is not the topic that the nurse should give priority to, as it is not the leading cause of death for adolescents. Sports injuries are common among adolescents, as they are physically active and participate in various sports and recreational activities. Sports injuries can cause pain, disability, or death, depending on the type, severity, and location of the injury. The nurse should educate the adolescents about the risk factors and prevention strategies for sports injuries, such as warming up, cooling down, stretching, using protective equipment, and seeking medical attention when needed.
Choice C reason: Substance abuse prevention is not the topic that the nurse should give priority to, as it is not the leading cause of death for adolescents. Substance abuse is the harmful use of psychoactive substances, such as alcohol, tobacco, or drugs, that can affect the health and well-being of adolescents. Substance abuse can cause acute or chronic effects, such as intoxication, overdose, addiction, organ damage, or mental disorders. The nurse should educate the adolescents about the risk factors and prevention strategies for substance abuse, such as avoiding peer pressure, coping with stress, seeking help, and accessing treatment.
Choice D reason: Gun safety is not the topic that the nurse should give priority to, as it is not the leading cause of death for adolescents. Gun safety is the practice of using firearms in a safe and responsible manner, to prevent accidental or intentional injuries or deaths. Gun safety can involve proper handling, storage, and disposal of firearms, as well as education and awareness about the dangers and consequences of gun violence. The nurse should educate the adolescents about the risk factors and prevention strategies for gun safety, such as avoiding access to firearms, reporting threats, and supporting non-violent solutions.
Correct Answer is D
Explanation
Choice A reason: Demographic data is not part of the windshield survey, but rather a secondary source of information that the nurse can obtain from census reports, health statistics, or other documents. Demographic data includes information such as age, gender, race, ethnicity, income, education, and occupation of the community members.
Choice B reason: Mortality rate is not part of the windshield survey, but rather a secondary source of information that the nurse can obtain from vital records, health reports, or other documents. Mortality rate is a measure of the number of deaths in a given population, usually expressed as deaths per 1000 or 100,000 people.
Choice C reason: Informant interviews are not part of the windshield survey, but rather a primary source of information that the nurse can obtain by talking to key informants or community leaders who have knowledge and insight about the community. Informant interviews can help the nurse to identify the community's strengths, needs, problems, and resources.
Choice D reason: Housing quality is part of the windshield survey, which is a direct observation of the community by driving or walking through it. Housing quality includes information such as the type, age, condition, size, and value of the houses, as well as the availability and accessibility of utilities, sanitation, and safety features. Housing quality can reflect the socioeconomic status, health status, and environmental risks of the community.
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