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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Endemic: An endemic disease is one that is consistently present in a population at expected levels, such as malaria in some tropical regions. Food poisoning outbreaks are not endemic.
B. Epidemic: An epidemic occurs when there is a sudden increase in cases of a disease within a specific population, as seen in this outbreak of food poisoning among picnic attendees.
C. Pandemic: A pandemic affects multiple countries or continents, which does not apply to this localized outbreak.
D. Polidemic: The term "polidemic" is not commonly used in epidemiology; the correct term for a localized outbreak is "epidemic."
Correct Answer is A
Explanation
A. Epidemiologic triangle: The epidemiologic triangle is a public health model that examines three key components of disease transmission:
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Agent – The microorganism (bacteria, virus, fungus, etc.).
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Host – The person or animal that harbors the disease.
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Environment – External conditions that contribute to disease spread.
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B. Health promotion: The health promotion model focuses on behavioral and lifestyle changes to prevent illness rather than examining the direct causes of disease.
C. Natural history of disease: The natural history of disease describes how a disease progresses without intervention from the initial exposure to resolution or chronicity, but it does not specifically analyze the agent, host, and environment.
D. Levels of prevention: The levels of prevention (primary, secondary, tertiary) focus on preventing and managing disease, but they do not analyze the factors leading to disease transmission like the epidemiologic triangle does.
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