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.

Answer and Explanation

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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Correct Answer is D

Explanation

Sociocultural factors such as upbringing, cultural norms, values, beliefs, and socialization significantly influence nonverbal communication. Different cultures may interpret nonverbal cues differently, leading to potential misunderstandings or misinterpretations if cultural differences are not considered.
A. Nonverbal communication often provides valuable insight into a person's emotions and internal states.
B. Nonverbal communication can convey truth and authenticity, sometimes more so than verbal communication.
C. While some nonverbal cues may be deliberate and consciously enacted by the client, many nonverbal behaviors are unconscious and automatic responses to internal feelings or external stimuli.

A. "There were no injuries sustained." B. "An incident report was completed." C. "An incident report was forwarded to risk management D. "The provider was notified.

Correct Answer is ["B","C"]

Explanation

This information is relevant to the client's condition and should be documented in the medical record. It provides important information about the client's physical status following the fall and may influence subsequent care decisions.

B. This information is typically documented in the incident report itself rather than the client's medical record. While it is important for the healthcare facility's records, it is not typically included in the client's medical record unless there are specific policies or procedures mandating such documentation.

C. This information is more relevant to administrative records and risk management procedures rather than the client's medical record.

D. This information is relevant to the client's care and should be documented in the medical record. It indicates that appropriate actions were taken following the incident.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

Correct Answer is ["B","C"]

Explanation

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