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 A

Explanation

Rationale: The nurse demonstrates cultural competence by using an interpreter to communicate with the client and family, ensuring that the information is conveyed accurately and respectfully, and that the client's preferences and needs are understood.

Incorrect options:

B) Asking the client to teach the nurse some words in Mandarin. - This is not a culturally competent action, as it may put undue pressure on the client to educate the nurse, and it may not be relevant to the client's health care needs.

C) Assuming that the client follows traditional Chinese beliefs and practices. - This is not a culturally competent action, as it may lead to stereotyping and ignoring the individuality and diversity of the client.

D) Giving the client a pamphlet about American health care system. - This is not a culturally competent action, as it may imply that the American health care system is superior or more desirable than the client's own culture and values.

A. The client is shy and nervous. B. The client is disrespectful and rude. C. The client is showing respect and deference. D. The client is hiding something or lying.

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.

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

Correct Answer is A

Explanation

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

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 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?