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 A
Explanation
This response addresses the client's disrespectful tone and sets a boundary regarding acceptable communication. It promotes respect and professionalism in the nurse-client relationship while addressing the immediate behavior.
B. It maintains a neutral tone and encourages cooperation without escalating the conflict. However, it may come across as slightly confrontational and could potentially provoke further resistance from the client.
C. This response accommodates the client's request to have the schedule provided without further interaction. However, it may reinforce the client's dismissive and disrespectful behavior by complying with their demands without addressing the underlying communication issue.
D. It encourages the client to reflect on their feelings and provides an opportunity for open communication about any issues or concerns they may have. However, it may not be the most effective response in the moment as it could potentially escalate the conflict or lead to further defensiveness from the client.
Correct Answer is A
Explanation
This statement encourages the client to express their own perspectives, beliefs, and preferences regarding their health and well-being. It fosters client autonomy and acknowledges the importance of understanding the client's cultural context and values when developing a treatment plan. This statement aligns with the principles of the CFI tool.
C. This statement imposes the nurse's perspective on the client and may not be culturally sensitive.
D. This statement imposes the nurse's beliefs and assumptions on the client and may not be culturally sensitive.
B. This statement may not be appropriate without further exploration of the client's experiences, beliefs, and cultural context. It imposes Western diagnostic categories on the client without considering the cultural validity of these categories or the client's own explanatory model of illness.
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