A nurse is contributing to the plan of care for a client who speaks a different language than the nurse. Which of the following interventions should the nurse include to facilitate communication with the client?

Observe the client's verbal and nonverbal behaviors.

Ask the client's adolescent child to act as an interpreter.

Avoid the use of gestures.

Speak directly to the interpreter.

Answer and Explanation

The Correct Answer is A

A.   Observe the client's verbal and nonverbal behaviors. Observing nonverbal cues helps assess understanding and emotional responses when there is a language barrier.
B.   Ask the client's adolescent child to act as an interpreter. Family members, especially minors, should not interpret due to confidentiality and potential inaccuracies.
C.   Avoid the use of gestures. Gestures can be helpful when used appropriately, though cultural considerations are necessary.
D.   Speak directly to the interpreter. The nurse should speak directly to the client, even when an interpreter is present, to maintain rapport and respect.

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Correct Answer is A

Explanation

A. "I do not want to have any surgery for my cancer." This indicates the client's decision to refuse treatment, and the nurse should advocate by respecting and supporting the client's autonomy.
B. "I have contacted another surgeon to get a second opinion." Seeking a second opinion demonstrates proactive decision-making and does not require advocacy.
C. "I will discuss treatment options next week after thinking about this." The client is demonstrating autonomy by requesting time to consider options.
D. "I will take chemotherapy since my family wants me to." This indicates external pressure rather than autonomous decision-making, necessitating the nurse's role as an advocate.

A. A nurse contacts a client's family member upon the client's request. B. A nurse returns to a client's room within a specified time frame. C. A nurse provides the same care to clients regardless of their socioeconomic status. D. A nurse reinforces education and evaluates a client's understanding. E. A nurse administers pain medication prior to ambulating a postoperative client.

Correct Answer is ["A","B","E"]

Explanation

A. A nurse contacts a client's family member upon the client's request. Fidelity involves keeping promises or fulfilling client requests.
B. A nurse returns to a client's room within a specified time frame. Keeping a promise to return demonstrates fidelity.
C. A nurse provides the same care to clients regardless of their socioeconomic status. This exemplifies the ethical principle of justice, not fidelity.
D. A nurse reinforces education and evaluates a client's understanding. This reflects the ethical principle of beneficence (doing good) rather than fidelity.
E. A nurse administers pain medication prior to ambulating a postoperative client. Administering pain medication as promised demonstrates fidelity.

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A nurse is contributing to the plan of care for a client who speaks a different language than the nurse. Which of the following interventions should the nurse include to facilitate communication with the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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