A nurse is providing teaching to a client who speaks a different language than the nurse and an interpreter is present. Which of the following findings should the nurse document that shows the client understands the teaching?
Client smiles and nods at the nurse.
Client makes eye contact with the nurse frequently.
Client has no questions for interpreter
Client points to objects on printed resources when nurse is speaking.
The Correct Answer is D
A. Client smiles and nods at the nurse: Smiling and nodding can be polite social gestures that do not necessarily reflect comprehension, especially when the client and nurse do not share a common language. These nonverbal cues might simply indicate that the client is listening or being courteous, rather than fully understanding the teaching content.
B. Client makes eye contact with the nurse frequently: Eye contact varies significantly across cultures; some cultures view direct eye contact as respectful, while others may see it as disrespectful or confrontational. Therefore, frequent eye contact is not a reliable indicator of understanding, especially in cross-cultural communication.
C. Client has no questions for interpreter: The absence of questions could indicate multiple possibilities, such as the client feeling hesitant to speak up, lack of understanding of the information, or cultural norms that discourage questioning authority figures. Silence alone does not confirm comprehension of the teaching.
D. Client points to objects on printed resources when nurse is speaking: Active participation, such as pointing to objects on visual aids or printed materials, shows that the client is processing and connecting the teaching information to tangible items. This behavior demonstrates engagement and comprehension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The presence of community members smoking reflects individual lifestyle choices, as smoking is a personal behavior that directly affects health. Observing such behavior can help the nurse identify trends in health practices and target interventions like smoking cessation programs.
B. The presence of a community health clinic represents an available resource for healthcare access, which is a structural or systemic factor rather than an individual lifestyle choice. It reflects the healthcare infrastructure in the area.
C. The presence of a manufacturing facility is related to the economic and environmental conditions of the community. While it may influence occupational health, it is not an indicator of personal health choices made by individuals.
D. The presence of high-speed internet is an infrastructural advantage that may support health education and access to services, but it is not a direct observation of personal health behavior or lifestyle decisions.
Correct Answer is D
Explanation
A. Lock the computer with their password: Locking the computer can secure the session temporarily, but it still leaves the session open and accessible if not properly locked. Logging out fully ends the session and prevents unauthorized access.
B. Minimize the computer application: Minimizing the computer application does not secure the client's electronic health record. The application is still open and accessible with a click, making it a significant breach of confidentiality if someone else accesses the computer.
C. Close the computer screen: Closing the computer screen (e.g., folding down a laptop lid) often puts the computer to sleep or locks the screen. While it provides some level of protection, it is not as secure as logging out, especially if the computer can be easily re-opened or if the lock mechanism isn't immediate.
D. Log out of the computer: Logging out completely ends the session and requires re-authentication for access, ensuring client data confidentiality and compliance with privacy regulations such as HIPAA.
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