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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Related Questions
Correct Answer is D
Explanation
Choice A reason: Encouraging the family to join a support group is not the first action that the nurse should take. This is an important intervention that can help the family cope with the challenges and stress of caring for a client who has dementia, but it should be done after the nurse has established rapport and trust with the family.
Choice B reason: Providing the family with information about respite care is not the first action that the nurse should take. This is an important intervention that can help the family access temporary relief from their caregiving responsibilities, but it should be done after the nurse has assessed the family's needs and preferences.
Choice C reason: Educating the family regarding the progression of dementia is not the first action that the nurse should take. This is an important intervention that can help the family understand the nature and course of the disease, and prepare them for the future changes and challenges, but it should be done after the nurse has evaluated the family's level of knowledge and readiness to learn.
Choice D reason: Engaging the family in informal conversation is the first action that the nurse should take. This is based on the principle of communication, which states that the nurse should initiate and maintain a therapeutic relationship with the client and the family. The nurse should use informal conversation to introduce herself, express interest and empathy, and create a comfortable and respectful atmosphere. The nurse should also use open-ended questions, active listening, and nonverbal cues to elicit the family's concerns, expectations, and goals.
Correct Answer is D
Explanation
Step-by-Step Incidence Calculation Step 1 is (3,144 ÷ 325,986) = 0.00964292 Step 2 is 0.00964292 × 100,000 = 964.292 Step 3 is rounding 964.292 to the nearest whole number = 964
The closest answer choice to 964 cases per 100,000 population is D.
Answer: D.
Choice A reason: Option A states about 100 reported cases per 100,000 population, which is roughly one-tenth of the calculated rate (964 per 100,000). It underestimates the true incidence by nearly 864 cases per 100,000.
Choice B reason: Option B describes about 1 reported case per 10,000 population, equivalent to 10 per 100,000. This is far below the actual incidence (964 per 100,000) and thus is incorrect.
Choice C reason: Option C suggests about 10 reported cases per 10,000 population, which translates to 100 per 100,000. That remains well under the calculated rate and does not match the data.
Choice D reason: Option D indicates about 1,000 reported cases per 100,000 population. The calculated rate of 964 per 100,000 rounds to approximately 1,000 per 100,000, making this the correct choice.
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