Which of the following is NOT one of the steps in the "Centering Technique" discussed in Riley, Chapter 9?
"Bringing to mind someone or something that evokes love and compassion."
"Elevating the heartrate by taking several shallow breaths in rapid succession."
"Letting go of any distractions or worries."
"Pausing before interacting with a client, family member, or colleague."
The Correct Answer is B
A. Bringing to mind a source of love and compassion helps in focusing and centering oneself in the "Centering Technique."
B. Elevating the heart rate through shallow breaths is not a step in the "Centering Technique"; the focus is on calming and centering oneself.
C. Letting go of distractions and worries is a key step in the "Centering Technique."
D. Pausing before interactions is part of the "Centering Technique" to focus attention and presence.
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Correct Answer is D
Explanation
A. Call a nursing colleague who speaks the same language as the client to interpret the information.
While this option may seem viable, it is not the best practice. Using a colleague for interpretation could breach confidentiality and might not ensure a professional level of accuracy. Nurses are not always trained interpreters and might not fully understand the nuances of medical communication.
B. Ask the client's partner to interpret the information.
It is not appropriate to use the client’s partner as an interpreter due to potential conflicts of interest and breaches of confidentiality. Family members may not provide accurate translations and could unintentionally alter the information.
C. Use an electronic translating service from the internet to interpret the information.
While online translating tools can be helpful for casual conversations, they are not reliable for medical information due to potential inaccuracies and lack of medical terminology. Professional interpreters are trained to handle medical terminology and ensure that communication is clear and accurate.
D. Telephone the interpreter that is designated for the facility to interpret the information.
This is the best practice for ensuring clear and accurate communication. Designated interpreters are trained professionals who can accurately convey medical information and maintain confidentiality. They ensure that communication is both effective and compliant with legal and ethical standards.
Correct Answer is C
Explanation
A. Closed-ended questioning involves yes/no or brief answers, which is not the case here.
B. Empathizing would involve expressing understanding of the client's feelings rather than asking for more information.
C. Focusing directs the conversation to a specific topic or concern, which the nurse does by asking about the client's specific concerns.
D. Summarizing involves reviewing and organizing information, which is not happening here.
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