A nurse is preparing a teaching plan for a client who speaks limited English and is scheduled for a surgical procedure. Which of the following guidelines should the nurse plan to use when selecting written educational materials for the client? (Select all that apply.)

Use materials written in the client's spoken language.

Choose materials that include culturally relevant information and examples.

Use materials written at a twelve-grade level.

Use pictures.

Provide a variety of educational materials.

Answer and Explanation

Correct Answer : A,B,D,E

A. Use materials written in the client's spoken language. Providing information in the client's preferred language ensures understanding and facilitates informed decision-making.

B. Choose materials that include culturally relevant information and examples. Cultural relevance helps the client relate to and understand the information in a meaningful way.

C. Use materials written at a twelve-grade level: Educational materials should generally be written at a 5th to 6th-grade reading level to ensure accessibility for a broad audience.

D. Use pictures. Pictures can enhance comprehension by providing visual aids, especially for clients with limited language proficiency.

E. Provide a variety of educational materials. Offering materials in multiple formats (e.g., written, visual, or video) accommodates different learning preferences.

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Correct Answer is B

Explanation

A. Encourage visitors throughout the day: Increased visitor interactions may worsen sensory overload by adding more stimuli.

B. Provide the client with earplugs. Earplugs help reduce environmental noise and sensory input, addressing the client's sensory overload and promoting rest and comfort.

C. Spread client care activities throughout the shift: Consolidating care activities, rather than spreading them out, minimizes interruptions and helps reduce sensory input.

D. Keep the door to the client's room open: Keeping the door open can increase noise and stimuli, exacerbating sensory overload.

A. Vital sign measurement B. The nature and invasiveness of the surgical procedure C. Visual observation for nonverbal signs of pain D. The client's self-report of pain severity

Correct Answer is D

Explanation

A. Vital sign measurement: While vital signs may change due to pain, they are not specific indicators of pain intensity and should not be the primary basis for pain management.

B. The nature and invasiveness of the surgical procedure: The type of procedure may influence pain, but it is still essential to rely on the client's self-report for pain management.

C. Visual observation for nonverbal signs of pain: While helpful in some cases, nonverbal signs are not as reliable as the client's own report of pain.

D. The client's self-report of pain severity. The most accurate method to assess pain is through the client's self-report. This allows the nurse to understand the severity and nature of the pain, which helps guide treatment.

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A nurse is preparing a teaching plan for a client who speaks limited English and is scheduled for a surgical procedure. Which of the following guidelines should the nurse plan to use when selecting written educational materials for the client? (Select all that apply.)

Nursing Test Bank

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Correct Answer is D

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A nurse is preparing a teaching plan for a client who speaks limited English and is scheduled for a surgical procedure. Which of the following guidelines should the nurse plan to use when selecting written educational materials for the client? (Select all that apply.)