During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-year-old Hispanic patient with limited English proficiency.
It is important for the nurse to:.
Use maternity jargon in order for the patient to become familiar with these terms.
Speak quickly and efficiently to expedite the visit.
Provide the patient with handouts.
Assess whether the patient understands the discussion.
The Correct Answer is D
Choice A rationale:
Using maternity jargon might confuse the patient, especially if she has limited English proficiency. It is important to use simple and clear language to ensure the patient understands the information. Using jargon would not be effective in this situation.
Choice B rationale:
Speaking quickly and efficiently may further complicate communication, especially considering the patient's limited English proficiency. It is crucial to speak slowly, clearly, and allow time for the patient to process and respond. Rushing the conversation may hinder effective communication.
Choice C rationale:
Providing handouts can be helpful, but it should not be the sole method of communication, especially when dealing with a patient who has limited English proficiency. Handouts may not be available in the patient's language or may not address her specific concerns. Assessing direct understanding through conversation is essential.
Choice D rationale:
Assessing whether the patient understands the discussion is the most crucial step. This can be done through various methods, such as asking open-ended questions, using interpreters if necessary, and encouraging the patient to ask questions. Ensuring the patient comprehends the information provided is vital for her overall care and adherence to medical advice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Afterbirth hemorrhage, or postpartum hemorrhage (PPH), is a significant concern after childbirth. One of the common causes is retained placental fragments. When placental tissue is not completely expelled after delivery, it can lead to continuous bleeding. This condition requires prompt medical intervention, often through uterine exploration and removal of the retained tissue.
Choice B rationale:
Unrepaired vaginal lacerations can cause bleeding, but they are usually identified and repaired immediately after delivery. In this case, the woman gave birth 4 hours ago, so unrepaired lacerations would have been addressed during the delivery process.
Choice C rationale:
Uterine atony, which is the lack of normal uterine muscle tone, can cause postpartum hemorrhage. However, in this scenario, the woman was given Pitocin, which is an oxytocic medication used to prevent or treat uterine atony by inducing uterine contractions. Therefore, uterine atony is less likely to be the cause in this case.
Choice D rationale:
Puerperal infection, also known as postpartum infection, can cause fever, uterine tenderness, and foul-smelling discharge. While it can lead to complications, it is not the most likely cause of significant bleeding in this situation.
Correct Answer is A
Explanation
Choice A rationale:
It is a belief common at this age. Rationale: The child's belief that she has cancer because God is punishing her for "being bad" and her fear of going to hell if she dies is consistent with magical thinking, which is common in children around the age of 8. Children at this age often have difficulty understanding cause and effect relationships, leading to magical or illogical thinking patterns. It is essential for the nurse to recognize this developmental aspect and respond empathetically and supportively.
Choice B rationale:
Choice C rationale:
The belief is suggestive of excessive family pressure. Rationale: There is no evidence in the scenario to suggest that the child's belief is related to family pressure. The child's statements are more consistent with age-appropriate magical thinking and fear related to concepts of punishment and the afterlife.
Choice D rationale:
The statement suggests a failed attempt to develop a conscience. Rationale: The child's belief does not indicate a failed attempt to develop a conscience. Instead, it reflects a typical developmental stage where children often have magical thoughts and fears. This stage is temporary and part of normal cognitive development.
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