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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
A. Pain medication is administered 1 hr before a client has a dressing change. Administering pain medication before a painful procedure is appropriate and respects the client’s comfort needs.
B. The same indwelling urinary catheter is reinserted after a failed attempt. Reinserting the same catheter increases the risk of infection and violates infection control guidelines.
C. Medications scheduled four times a day are administered 2 hr after the scheduled time. This represents a medication administration error and violates safe medication administration practices.
D. Finger nail marks appear on a client's wrist after a radial pulse was taken. This may suggest physical harm, which is a violation of the client's right to safety.
E. A sublingual medication is crushed and administered through a client's gastrostomy tube. Sublingual medications are designed for absorption under the tongue and should not be altered, as doing so can affect efficacy and absorption.
Correct Answer is A
Explanation
A. Inform the charge nurse. The charge nurse should be notified when consent cannot be obtained so appropriate steps can be taken, such as rescheduling or involving the healthcare provider.
B. Send the client for the test with the unsigned form. Consent must be obtained before any invasive procedure. Proceeding without consent can result in legal and ethical consequences.
C. Obtain consent from a family member. A family member cannot give consent unless they hold legal power of attorney for healthcare decisions.
D. Wake the client and ask them to sign the form. Consent obtained under the influence of sedatives is not legally valid as it compromises the client's decision-making capacity.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.