A Spanish-speaking family comes to the public health department. No one in the family speaks English, and nobody at the health department speaks Spanish. Which of the following actions should be taken by the nurse?

Call the local hospital and arrange a referral.

Attempt communication using an English-Spanish phrase book.

Emphatically state, "No hablo Español" (I don't speak Spanish).

Obtain an interpreter to translate.

Answer and Explanation

The Correct Answer is D

A. Call the local hospital and arrange a referral: A referral does not immediately address the family’s communication needs. The nurse should first attempt to provide care with proper interpretation.

B. Attempt communication using an English-Spanish phrase book: A phrase book is inadequate for complex medical discussions and could lead to miscommunication.

C. Emphatically state, "No hablo Español" (I don't speak Spanish): This response is dismissive and does not help the family receive the care they need.

D. Obtain an interpreter to translate: The best practice is to use a professional interpreter to ensure accurate communication and avoid misunderstandings in medical care.

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Correct Answer is D

Explanation

A. Herd immunity: Herd immunity occurs when a large portion of the population is immune, reducing the spread of disease. However, the individual receiving the vaccine develops active immunity, not herd immunity.

B. Natural immunity: Natural immunity occurs after infection and recovery, not from vaccination.

C. Acquired immunity: While acquired immunity includes both active (vaccination or infection) and passive (antibodies from mother or immunoglobulin) immunity, the most specific answer is active immunity.

D. Active immunity: Vaccines stimulate the immune system to develop long-term immunity by producing antibodies against the virus.

A. Dengue B. Malaria C. Onchocerciasis (river blindness) D. Yellow fever

Correct Answer is B

Explanation

A. Dengue: Dengue is transmitted by Aedes mosquitoes and is found in tropical regions, but it is less commonly imported to the U.S. than malaria.

B. Malaria: Malaria is the most frequently imported vector-borne disease in the U.S. due to international travelers coming from endemic areas (Africa, South Asia, South America). It is transmitted by Anopheles mosquitoes.

C. Onchocerciasis (river blindness): This disease is primarily found in Africa and is not commonly imported to the U.S. by travelers.

D. Yellow fever: While yellow fever exists in endemic areas, travelers are often vaccinated before visiting these regions, reducing its importation risk.

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A Spanish-speaking family comes to the public health department. No one in the family speaks English, and nobody at the health department speaks Spanish. Which of the following actions should be taken by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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