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 {"dropdown-group-1":"B","dropdown-group-2":"A","dropdown-group-3":"A"}

Explanation

I. Agent: Plasmodium-Plasmodium is a protozoan parasite responsible for causing malaria. It is the infectious microorganism that leads to disease, making it the agent in this scenario.

II. Host: Human- In malaria transmission, humans serve as the primary host where Plasmodium multiplies and causes illness. The parasite infects red blood cells, leading to symptoms like fever and chills.

III. Environment: Stagnant water- Stagnant water serves as a breeding ground for Anopheles mosquitoes, which are the vectors that transmit Plasmodium to humans. The environment plays a crucial role in maintaining the conditions necessary for disease transmission.

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

Complete the following sentence by using the list of options for the epidemiological triangle. The nurse is completing the epidemiological triangle and understands that dropdown is an example of an agent dropdown could represent a host, and dropdown is an example of environment.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A","dropdown-group-3":"A"}

Explanation

The nurse understands that which of the following is the most common vector-borne disease is a result of travelers introducing the disease to the United States?

Correct Answer is B

Explanation

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