A nurse is assisting with a workshop for clients who have increased stress. Which of the following recommendations should the nurse include?

A. Have a family member who speaks the same language as the nurse explain the procedure to the client: Using a family member to interpret can lead to miscommunication, omissions, or bias, and may violate the client’s right to accurate information. Professional interpretation ensures understanding and protects informed consent.

B. Contact a medical interpreter to assist in obtaining informed consent: A professional medical interpreter provides accurate translation, ensures the client understands the procedure, risks, benefits, and alternatives, and helps meet legal and ethical requirements for informed consent. This action promotes patient safety and autonomy.

C. Ask an assistive personnel who speaks the same language as the client to assist in obtaining informed consent: Assistive personnel are not qualified to provide detailed explanations of procedures or obtain consent. Using them in this role can compromise accuracy and legality, making it inappropriate.

D. Request that the provider draw a diagram to explain the procedure to the client: While visual aids can support understanding, they do not replace verbal communication or translation. Diagrams alone are insufficient for obtaining informed consent from a client who does not speak the same language as the provider.

A. Plan for a 30-min instructional session: Preschool-aged children have limited attention spans, generally lasting 5 to 10 minutes. A 30-minute session would likely be too long for effective learning and may increase anxiety rather than improve understanding. Short, focused sessions are more developmentally appropriate.

B. Schedule the instructional session for 24 to 36 hr before the procedure: Preschoolers benefit from teaching close to the time of the procedure, ideally within a few hours, because their sense of time is limited and they may forget information presented far in advance. Scheduling too early reduces comprehension and retention.

C. Take the child on a tour of the surgery and recovery areas: Tours can be overwhelming and frightening for preschoolers, who may not understand abstract concepts of procedures and recovery areas. Hands-on, play-based techniques are more effective than visual tours for this age group.

D. Help the child put a dressing on a doll: Using a doll for demonstration is a developmentally appropriate, play-based technique that allows preschoolers to role-play and understand the procedure in a concrete, safe manner. It reduces anxiety by familiarizing the child with what will happen to their own body through imitation and interactive learning.