A nurse is providing discharge instructions to a client who has hypertension. The client is from Haiti and speaks Creole. The nurse uses an interpreter to communicate with the client. Which statement by the nurse indicates effective use of an interpreter?

"Please tell the client to take one tablet of lisinopril every morning with food."

"Can you ask the client if they have any questions about their medications?"

"How do you say 'blood pressure' in Creole?"

"Do you think the client understands what I am saying?"

Answer and Explanation

The Correct Answer is A

Rationale: The nurse indicates effective use of an interpreter by using this statement, as it follows the best practices for working with an interpreter, such as speaking directly to the client in short sentences, using clear and simple language, and avoiding jargon or slang.

Incorrect options:

B) "Can you ask the client if they have any questions about their medications?" - This is not an effective use of an interpreter , as it creates a barrier between the nurse and the client by asking the interpreter to ask the client directly. The nurse should directly address the client and ask if they have any questions about their medications.

C) "How do you say 'blood pressure' in Creole?" - While it may be helpful for the nurse to learn some basic Creole terminology, this statement does not indicate effective use of an interpreter. The nurse should focus on communicating the necessary information to the client and rely on the interpreter for accurate translation.

D) "Do you think the client understands what I am saying?" - This statement does not indicate effective use of an interpreter. Instead, the nurse should directly ask the client if they understand the instructions and information provided, and seek clarification or additional explanation if needed.

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Correct Answer is C

Explanation

Rationale: The nurse should interpret the client's behavior as showing respect and deference, as this is a common cultural norm among some Native American groups. Eye contact may be considered intrusive or aggressive in some cultures, and avoiding eye contact may indicate respect for authority or elders.

Incorrect options:

A) The client is shy and nervous. - This is not a correct interpretation, as it may reflect the nurse's own cultural bias or assumption, rather than the client's actual feelings or intentions.

B) The client is disrespectful and rude. - This is not a correct interpretation, as it may reflect the nurse's own cultural bias or assumption, rather than the client's actual feelings or intentions.

D) The client is hiding something or lying. - This is not a correct interpretation, as it may reflect the nurse's own cultural bias or assumption, rather than the client's actual feelings or intentions.

A. The clients have a fatalistic view of health and illness, and believe that they have no control over their health outcomes. B. The clients have a holistic view of health and illness, and prefer to use alternative or complementary therapies rather than conventional medicine. C. The clients have a low socioeconomic status and face barriers to accessing health care, such as lack of insurance, transportation, or time. D. The clients have a high level of trust and satisfaction with their health care providers, and do not feel the need to seek health care unless they have a serious problem.

Correct Answer is C

Explanation

Rationale: The most likely reason for this behavior is that the clients have a low socioeconomic status and face barriers to accessing health care, such as lack of insurance, transportation, or time. These factors may limit the clients' ability or willingness to seek preventive or routine care, and may increase their risk of developing or worsening chronic conditions.

Incorrect options:

A) The clients have a fatalistic view of health and illness, and believe that they have no control over their health outcomes. - This is not the most likely reason for this behavior, as it may not apply to all clients from certain cultural groups, and it may not account for other factors that influence health-seeking behaviors, such as access, availability, or affordability of health care services.

B) The clients have a holistic view of health and illness, and prefer to use alternative or complementary therapies rather than conventional medicine. - This is not the most likely reason for this behavior, as it may not apply to all clients from certain cultural groups, and it may not account for other factors that influence health-seeking behaviors, such as access, availability, or affordability of health care services.

D) The clients have a high level of trust and satisfaction with their health care providers, and do not feel the need to seek health care unless they have a serious problem. - This is not the most likely reason for this behavior, as it may not apply to all clients from certain cultural groups, and it may not account for other factors that influence health-seeking behaviors, such as access, availability, or affordability of health care services.

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A nurse is providing discharge instructions to a client who has hypertension. The client is from Haiti and speaks Creole. The nurse uses an interpreter to communicate with the client. Which statement by the nurse indicates effective use of an interpreter?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting a health assessment for a client who identifies as Native American. The nurse notices that the client avoids eye contact during the interview. How should the nurse interpret this behavior?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

A nurse is caring for a client who is Muslim and observes Ramadan. The client is scheduled to undergo a surgical procedure in the morning. Which action by the nurse demonstrates cultural sensitivity?

A nurse is caring for a client who has recently immigrated from China and does not speak English. Which action by the nurse demonstrates cultural competence?

A nurse is providing discharge instructions to a client who has hypertension. The client is from Haiti and speaks Creole. The nurse uses an interpreter to communicate with the client. Which statement by the nurse indicates effective use of an interpreter?