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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Holistic nursing care is centered around the concept of viewing the client as a whole person, rather than just focusing on their physical symptoms or specific health issues. It considers all aspects of the client's being, including their physical, emotional, social, spiritual, and cultural dimensions.
A. Holistic nursing goes beyond just addressing physical symptoms or illnesses and focuses on promoting healing and wellness in all aspects of the client's life.
B. While collaboration among members of the nursing staff may be part of holistic nursing care, it does not fully capture the essence of what holistic nursing care entails.
C. Holistic nursing care does not necessarily mean that all clients receive the same treatments. Instead, it emphasizes individualized care that considers each client's unique circumstances, preferences, and goals.

A. "Do you have family who can help you when you get home?" B. "Has anything stressful happened recently?" C. "You really do need to stop smoking: your kids need you." D. How would you describe your feelings about the procedure?

Correct Answer is ["A","B","D"]

Explanation

A. This statement is non-judgmental. It focuses on assessing the patient's support system and potential resources for assistance after surgery without implying any judgment about the patient's circumstances.
B. This statement is non-judgmental. It aims to assess the patient's current stressors or life events that may impact her emotional well-being and coping abilities without implying any judgment.
C. This statement is judgmental. It conveys a directive and implies criticism or disapproval of the patient's smoking habit. It may also imply blame for the patient's health condition, which can be counterproductive and may cause the patient to feel defensive or discouraged.
D. This statement is non-judgmental. It encourages the patient to express her thoughts and emotions about the upcoming procedure without imposing any judgment or criticism.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

A nurse is providing care to a client who asks, "What is the meaning of holistic nursing care?" The nurse should give which of the following responses?

Correct Answer is D

Explanation

A 35-year-old woman has been admitted to the hospital for a hysterectomy secondary to uterine cancer caused by smoking, and the nurse is collecting subjective data prior to surgery. Which statements by the nurse could be construed as non-judgmental? (Select All that Apply.)

Correct Answer is ["A","B","D"]

Explanation

A nurse is caring for a client who is well-hydrated and who demonstrates no evidence of anemia. Which of the following laboratory values gives the nurse an assessment of the adequacy of the client's protein uptake and synthesis?

A nurse is assessing a toddler at a well-child visit. At what point in the physical examination should the nurse examine the child's tympanic membrane?

A nurse in the post-anesthesia care unit is caring for a client who is postoperative following a thoracotomy and lobectomy. Which of the following postoperative assessments should the nurse give highest priority to?

A nurse is caring for a client who has limited hand movement. Which of the following actions should the nurse take to assist the client with feeding?

A nurse is planning care for a client who experienced an anaphylactic reaction. Which of the following findings should the nurse identify as the most important indication for a referral to an allergy specialist?

A nurse on an inpatient mental health unit is caring for a client who has major depressive disorder and malnutrition. Which of the following actions should the nurse take to improve the client's nutritional status?

A nurse is interviewing a client during admission to an alcohol treatment center. Which of the following approaches should the nurse take?

A nurse is assessing a client who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? (Select all that apply.)