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: Collecting data to identify barriers to learning is the first action that the nurse should take. This is based on the principle of assessment, which states that the nurse should gather information about the needs, interests, and characteristics of the target population before planning any intervention. The nurse should assess the barriers that may prevent the adolescents from participating in or benefiting from the program, such as lack of knowledge, motivation, access, or support.
Choice B reason: Establishing methods to evaluate program outcomes is not the first action that the nurse should take. This is based on the principle of evaluation, which states that the nurse should measure the effectiveness and impact of the intervention after implementing it. The nurse should determine the criteria and indicators that will be used to evaluate the program outcomes, such as changes in knowledge, attitudes, behaviors, or health status.
Choice C reason: Obtaining visual aids that feature adolescents is not the first action that the nurse should take. This is based on the principle of implementation, which states that the nurse should deliver the intervention using appropriate strategies and resources. The nurse should obtain visual aids that are relevant, accurate, and appealing to the adolescents, and that can enhance the learning process and the message delivery.
Choice D reason: Providing computer-based education is not the first action that the nurse should take. This is based on the principle of implementation, which states that the nurse should deliver the intervention using appropriate strategies and resources. The nurse should provide computer-based education if it is feasible, accessible, and preferred by the adolescents, and if it can facilitate the learning objectives and outcomes.
Correct Answer is B
Explanation
Choice A reason: Encouraging enrollment and attendance at weight reduction programs is not a priority intervention, as it targets a specific population and does not address the root causes of obesity. It may also have low participation and adherence rates.
Choice B reason: Educating children at a day care center about nutrition and exercise is a priority intervention, as it promotes primary prevention and health promotion. It can also have a positive impact on the children's health behaviors, attitudes, and outcomes, as well as influence their families and communities.
Choice C reason: Distributing health risk appraisal questionnaires at community functions is not a priority intervention, as it is a passive and indirect approach. It may not reach the most vulnerable or at-risk populations, and it does not provide any education or follow-up.
Choice D reason: Measuring the BMI of older adults at a community senior center is not a priority intervention, as it is a secondary prevention strategy that focuses on screening and detection. It does not address the prevention or management of obesity or its complications.
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