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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Notify the nurse manager: Informing the manager may be necessary later, but the immediate priority is assessing and addressing the family member's condition.
B. Check the family member's vital signs: Assessing the family member's condition is the first step to determine the severity of the situation and provide appropriate care.
C. Obtain the family member's health history: Health history is valuable but not a priority in an acute event like fainting.
D. Complete an incident report: Incident reporting is necessary but should occur after the situation is managed and the family member's condition is stabilized.
Correct Answer is D
Explanation
A. Refusing surgery is an autonomous decision. No advocacy needed.
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.
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