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.
Identify the client's spoken dialect prior to contacting an interpreter.
Use professional terminology when providing education prior to the procedure.
Arrange for a member of the client's community to interpret the teaching.
The Correct Answer is B
In a situation where the nurse and the client do not speak the same language, it is important to ensure effective communication. Using a family member or a member of the client's community to interpret may not be appropriate as they may not have the necessary knowledge and skills to provide accurate and complete interpretation.
Professional interpreters are best suited fo
r this task. Before contacting an interpreter, the nurse should identify the client's spoken dialect to ensure that an appropriate interpreter is used. This will help to ensure effective communication between the nurse and the client and promote understanding of the procedure and any education that is provided. Using professional terminology when providing education may not be effective, as it may not be understood by the client.
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Related Questions
Correct Answer is A
Explanation
The first action the nurse should take is to determine the client's understanding of her living situation. This will help the nurse to assess the client's level of knowledge and understanding about her situation and tailor interventions accordingly.
It will also help the nurse to establish a therapeutic relationship with the client and create a safe and trusting environment.
Once the nurse has assessed the client's understanding, she can then proceed to assist the client in developing goals for obtaining shelter, discussing the risks of being homeless, and developing client teaching using a variety of strategies as needed.
Correct Answer is D
Explanation
When educating a client about end-of-life directives, it is important for the nurse to provide accurate information to ensure the client's wishes are respected.
A living will is a legal document that outlines a person's wishes for medical treatment in the event they are unable to communicate their desires themselves. It is not a contract between the client and the provider, but rather a tool to guide medical decision-making.
A do-not-resuscitate order can be revoked by the client or their legal representative, but not by the client's family alone. In most states, the designation of a healthcare proxy must be done in writing and signed by the client.
It is not necessary for two nurses to witness the designation, although the client may choose to have witnesses present. Finally, the client can choose anyone they trust to be their designated power of attorney, regardless of whether they are a family member or not.
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