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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Discussing the client's reasons for change is a key component of eliciting and strengthening motivation. When the client voluntarily discusses their reasons for making a behavior change, it suggests that they are beginning to articulate and explore their motivations.
A. This behavior indicates successful engagement with the client.
B. This behavior may indicate resistance or ambivalence toward discussing the target behavior change.
D. This behavior may indicate a readiness to explore treatment options but does not necessarily indicate successful engagement with the client in MI.
Correct Answer is D
Explanation
Adaptive feeding devices are specifically designed to assist individuals with limited hand movement in feeding themselves more independently. These devices can include utensils with larger handles, specialized grips, or devices that stabilize food items for easier manipulation. Providing such devices can enhance the client's ability to feed themselves and promote autonomy in their daily activities.
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