A nurse is caring for a who speaks a different language than the nurse and is 6 hr postoperative. Which of the following actions should the worse take to determine the client's level of pain?
Use the FACES pain scale to gauge the client's level of pain.
Use a communication board to interact with the client.
Use the Face, Legs, Activity, Cry, Consolability (FLACC) scale to measure the client's pain level.
Ask an assistive personnel who speaks the same language as the client to interpret.
The Correct Answer is C
Choice A Reason:
Using the FACES pain scale to gauge the client's level of pain is appropriate. This scale relies on the client's ability to understand and communicate using a specific language, which might not be possible if there is a language barrier.
Choice B Reason:
Using a communication board to interact with the client is inappropriate. While communication boards can be helpful, they might not effectively gauge the client's level of pain, especially if the client's primary language isn't available on the board.
Choice C Reason:
Using the Face, Legs, Activity, Cry, Consolability (FLACC) scale to measure the client's pain level is appropriate. The FLACC scale is a pain assessment tool that evaluates pain in nonverbal patients or those who can't communicate effectively. It assesses facial expressions, leg movement, activity level, crying, and consolability to determine the level of pain the patient is experiencing.
Choice D Reason:
Asking an assistive personnel who speaks the same language as the client to interpret is inappropriate. Relying on an interpreter, even if they speak the same language as the client, might not be the best approach for pain assessment, as nuances related to pain expression and interpretation might be better captured through a standardized pain assessment tool like the FLACC scale.
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Related Questions
Correct Answer is D
Explanation
A. Devout practitioners of Buddhism prefer a ritual bath prior to burial.
Explanation: In Buddhism, the funeral customs can vary widely depending on the cultural and regional practices. Some Buddhists may prefer cremation, while others may choose burial. There isn't a strict requirement for a ritual bath, and practices can differ.
B. Devout practitioners of Judaism prefer to be buried 5 days after death.
Explanation: In Judaism, there is a tradition of burying the deceased as soon as possible, ideally within 24 hours. Waiting for 5 days is not consistent with Jewish burial practices.
C. Devout practitioners of Hinduism prefer to be buried after death and not cremated.
Explanation: In Hinduism, cremation is a common practice. Hindus believe in the cycle of reincarnation, and cremation is seen as a way to release the soul from the body. Burial is not a typical practice in Hinduism.
D. Devout practitioners of Islam prefer to have their heads turned toward Mecca at death.
Explanation: In Islam, it is a common practice to bury the deceased with their right side facing the Qiblah, which is the direction of the Kaaba in Mecca. This is part of the Islamic funeral rites.
Correct Answer is B
Explanation
Choice A Reason:
"I'll need to sign a separate consent form first." This statement might indicate a misunderstanding of the process or a belief that signing an advance directive requires a separate consent form, which might not be accurate.
Choice B Reason:
“the opportunity to choose what kind of care I receive while I still can. "This statement reflects the understanding that advance directives allow individuals to make decisions about the type of care they wish to receive while they are still capable of expressing their preferences. Advance directives, such as a living will, enable individuals to outline their healthcare preferences in advance, especially in situations where they might not be able to communicate their wishes later due to illness or incapacity.
Choice C Reason:
“living will, there will be a 1-month delay before it is legally binding. “There typically isn't a standard delay before a living will becomes legally binding. Once the living will be properly completed and witnessed according to legal requirements, it becomes effective.
Choice D Reason:
“have my mind about the care I will receive once I sign my living will." The purpose of a living will be to express one's healthcare preferences in advance. While it's possible to update or change a living will if one's preferences change, signing a living will doesn't inherently mean one can easily alter care preferences once it's in place. Amendments or revocations might require specific legal steps.
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