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 B

Explanation

A. Increasing milk or milk products is not recommended because dairy can sometimes contribute to constipation rather than relieve it.
B. Encouraging physical activity is the best intervention to improve bowel regularity and decrease the risk of constipation by stimulating intestinal motility.
C. Decreasing dietary fiber would worsen constipation, as fiber adds bulk to stool and promotes regular bowel movements.
D. Warm compresses on the abdomen may provide comfort but do not significantly increase gastrointestinal motility to prevent constipation.

A. "Our personal beliefs and values have no effect on how we care for people." B. "It is important to see how any biases might impact our feelings about others." C. "Even if a treatment goes against the client's values, they have to have it." D. "Folk healers really can be a deterrent to a client's care."

Correct Answer is B

Explanation

A. Personal beliefs and values do affect how nurses provide care and must be acknowledged to provide culturally competent care.
B. Recognizing how personal biases can influence feelings and care is essential for developing cultural competence and providing respectful, individualized care.
C. Forcing treatments that conflict with a client’s values violates client autonomy and cultural respect.
D. Folk healers should be understood as part of a client’s cultural practice, not viewed as deterrents; respecting these practices supports holistic care.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is creating a plan of care for an older adult client at risk for constipation. Which intervention by the nurse will decrease this risk?

Correct Answer is B

Explanation

A nurse manager is conducting an in-service education program for a group of staff nurses on developing cultural competence. The nurse manager determines that the educational program was successful based on which statement by the group?

Correct Answer is B

Explanation

The nurse is disposing of an old dressing that is saturated with a client's blood. How should the nurse dispose of the dressing?

Which is an example of a perceived loss?

A preoperative assessment finds a client to be 75 lb (34 kg) overweight. The client is to have abdominal surgery. What nursing concern will be used for care planning based on the client's weight?

Although all of the following are factors that affect grief, which one is most likely to influence a person's expression of grief?

The nurse should utilize ISBARR communication (Introduction, Situation, Background, Assessment, Recommendation, Read Back) during which clinical situation?

A client with partial-thickness (second-degree) burns is encouraged to increase the proteins in the diet. Which food selection from the hospital menu indicates that the client understands how to choose foods high in protein?

The following foods are a part of a client's daily diet: high-fiber cereals, fruits, vegetables, ten 8-oz glasses (2,500 mL) of fluids. What would the nurse tell the client to change?