A nurse is developing the plan of care for a client who does not speak the same language as the nurse. Which of the following interventions should the nurse include?
Determine the client's level of fluency in his primary language.
Encourage the client to nod to indicate understanding.
Speak directly to the interpreter when teaching the client.
Make sure a family member is present to interpret for the staff.
The Correct Answer is A
This is important because it allows the nurse to assess the client's ability to communicate in their primary language. Knowing the client's level of fluency helps the nurse determine the most effective communication strategies and whether an interpreter is necessary.
B. While nodding can be a form of nonverbal communication indicating understanding, relying solely on this may not accurately gauge the client's comprehension.
C. Even in the presence of n interpreter, the nurse should speak directly to the client.
D. Family members may not be proficient in both languages or may not accurately convey medical information.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
Examination of the tympanic membrane causes some level of discomfort in the child. This may make the child apprehensive making the rest of the exam impossible. Therefore, examination of the tympanic membrane should be done last.
Correct Answer is A
Explanation
Caring for diverse clients will require balancing differences and needs acknowledges the importance of recognizing and respecting cultural diversity among clients. Each individual may have unique cultural backgrounds, beliefs, values, and needs. The nurse must balance these differences effectively to provide care that is sensitive to each client's cultural context.
B. It assumes homogeneity among individuals within the same neighborhood, disregarding the reality of cultural diversity even within small geographic areas.
C. It suggests that all clients, regardless of cultural background, should receive the same standard of care.
D. It disregards the importance of considering clients' cultural diversity in developing the plan of care.
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