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 A
Explanation
A. Having the knowledge and skill set needed to advocate for the patient, but not being able to act on it due to not having the authority to do so. Moral distress occurs when a nurse knows the right action to take but is constrained by external factors such as policies, hierarchy, or legal limitations.
B. Having the authority to call off a code, then realizing the decision was harmful to the patient. This describes moral regret or ethical uncertainty, not moral distress. Moral distress occurs when a nurse is unable to act according to their ethical beliefs.
C. Having the authority to override a physician's order for pain medication. This describes an ethical dilemma rather than moral distress. Moral distress arises when a nurse cannot act despite knowing the right course of action.
D. Having the knowledge and skill set needed to provide culturally competent care. Cultural competence is an important aspect of nursing, but it does not describe moral distress, which involves ethical conflict and external barriers.
Correct Answer is D
Explanation
A. Answering parents' questions about the safety and importance of vaccines today: While educating parents is essential, it relies on voluntary compliance and does not have the same large-scale impact as mandatory immunization laws.
B. Offering all immunizations to all children for a small fee: Improving vaccine access is important but does not guarantee that parents will vaccinate their children.
C. Educational campaigns to all health care providers about the importance of immunizations whenever a child is seen: While provider education is valuable, it does not enforce vaccinations on a broad population level like school-entry laws do.
D. "No shots, no school" legislation, which legally requires children be immunized before school: School immunization mandates have played a significant role in increasing vaccination rates and reducing outbreaks of preventable diseases such as measles, mumps, and pertussis. These laws ensure high vaccine compliance before children enter school, making them one of the most effective public health measures.
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