A family consisting of two parents, one grandparent and three school-age children have immigrated to the United States. The nurse needs to provide medication education to the grandparent, who does not speak the dominant language. Which strategy is best for the nurse to use to convey health information to the grandparent?

Ask someone in the office who speaks the same language to interpret when giving information.

Use hand gestures and drawings or videos to explain the information.

Ask a family member who speaks the dominant language to interpret the information.

Engage the services of a trained interpreter.

Answer and Explanation

The Correct Answer is D

A. Using an untrained interpreter from the office may lead to miscommunication.
B. Nonverbal methods alone may not convey complex health information accurately.
C. Family members might omit or alter information, risking confidentiality and accuracy.
D. A trained professional interpreter ensures accurate, confidential, and culturally appropriate communication.

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Correct Answer is C

Explanation

A. While clients may belong to multiple cultural groups, this is only one part of understanding them.
B. Cultural behaviors can vary by situation, but this is a subset of a broader approach.
C. The most important aspect is recognizing the client as an individual, with unique beliefs and needs, even within their cultural context. This prevents stereotyping and promotes personalized care.
D. Viewing the client only as a representative of a cultural group risks stereotyping and overlooks individual differences.

A. Keep the client sedated with tranquilizers. B. Allow the client to use the bathroom independently. C. Maintain a high bed position so the client will not attempt to get out unassisted. D. Involve family members in the client's care.

Correct Answer is D

Explanation

A. Sedating clients with tranquilizers can increase fall risk due to dizziness and impaired cognition.
B. Allowing a client to use the bathroom independently without assessment may increase fall risk if the client requires assistance.
C. Maintaining a high bed position is unsafe and increases fall risk; beds should be kept in the lowest position to prevent injury from falls.
D. Involving family members in care provides additional supervision and support, promoting safety and reducing the need for restraints.

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Naxlex Comprehensive Predictor Exams

When providing culturally competent care to a client, which aspect of care is most important for the nurse to keep in mind?

Correct Answer is C

Explanation

A nurse working in a long-term care facility is instituting interventions to prevent falls. Which intervention is an appropriate alternative to the use of restraints for ensuring client safety and preventing falls?

Correct Answer is D

Explanation

A client is diagnosed with a terminal illness. Who is usually responsible for deciding what, when, and how the client should be told?

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