A nurse is working with a client who has limited English proficiency and uses an interpreter. Which of the following strategies should the nurse use to facilitate effective communication?

Rationale: The nurse should speak directly to the client and use simple words, as this shows respect and helps to establish rapport. The nurse should also maintain eye contact with the client, not the interpreter, and avoid using jargon, slang, or idioms that may be confusing or culturally inappropriate.

Incorrect options:

A) Speak directly to the interpreter and use short sentences - This is incorrect, as the nurse should speak directly to the client, not the interpreter. The nurse should also use complete sentences, not short sentences, as this may affect the accuracy or clarity of the interpretation.

C) Speak loudly and slowly to the client and use gestures - This is incorrect, as speaking loudly and slowly may be perceived as patronizing or insulting by the client. Gestures may also be misinterpreted or culturally inappropriate.

D) Speak in a normal tone and pace to the interpreter and use medical terms - This is incorrect, as speaking in a normal tone and pace may be too fast or too quiet for the interpreter to catch every word. Medical terms may also be unfamiliar or difficult to translate for the interpreter.

Rationale: The nurse should respect the client's religious practice of fasting during Ramadan, which involves abstaining from food, fluids, medications, smoking, and sexual activity from dawn to dusk. However, the nurse should also consult with the health care provider about adjusting the medication schedule, as some medications may need to be taken with food or fluids or at specific times of the day.

Incorrect options:

A) Respect the client's religious practice and do not offer food or fluids - This is partially correct, as the nurse should respect the client's religious practice, but it is not enough. The nurse should also consult with the health care provider about adjusting the medication schedule, as some medications may need to be taken with food or fluids or at specific times of the day.

B) Educate the client about the importance of nutrition and hydration for health - This is inappropriate, as it may be perceived as disrespectful or insensitive to the client's religious practice. The nurse should not try to persuade the client to break their fast, unless there is a medical emergency or a serious risk to their health.

D) Report the client's behavior to the social worker or chaplain - This is unnecessary, as the client's behavior is not a problem or a concern, but a normal part of their religious practice. The nurse should not involve other professionals without the client's consent or request.