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 B

Explanation

A. Close the door to the client's room: This helps contain the fire and prevents smoke from spreading, but it should not be the immediate action after client removal.
B. Activate the alarm outside the client's room: Activating the alarm is critical after ensuring the client's safety, as it alerts the facility to the emergency and mobilizes response teams.
C. Use a Class A fire extinguisher to contain the fire: The type of extinguisher used depends on the fire classification. Attempting to extinguish a fire should occur only after the alarm is activated.
D. Turn off electrical equipment in the client's room: While turning off electrical equipment can reduce fire hazards, it is not the next priority after removing the client.

A. "Once the form is notarized, it cannot be changed." B. "My health care surrogate can decide my treatment if I am unable to." C. "My attorney will need to notarize the document.” D. "I have to choose a member of my family to be my health care surrogate.”

Correct Answer is B

Explanation

A. "Once the form is notarized, it cannot be changed." Advance directives can be changed or revoked by the client at any time.
B. "My health care surrogate can decide my treatment if I am unable to." A healthcare surrogate is legally authorized to make decisions when the client is incapacitated.
C. "My attorney will need to notarize the document." Notarization is not typically required by an attorney; any authorized notary public can perform this task.
D. "I have to choose a member of my family to be my health care surrogate." Clients can choose any trusted individual, not necessarily a family member.

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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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