A nurse at a community mental health center is teaching a course for the family and friends of clients who have a gambling disorder. Which of the following statements by a participant indicates an understanding of the information?

A. Ask for assistance from local spiritual leaders if there is a language barrier:

While engaging local spiritual leaders can be beneficial for understanding cultural nuances, addressing language barriers is a separate issue. Seeking assistance from interpreters or language services would be more appropriate for overcoming language barriers.

B. Collect all the data on the first visit with the workers:

Collecting all data on the first visit may be overwhelming and may not allow for the establishment of trust and rapport with the migrant workers. A more gradual and respectful approach to data collection is often advisable in cross-cultural nursing care.

C. Interview community leaders for a perspective of community life.

Interviewing community leaders provides valuable insights into the cultural context, norms, and values of the migrant workers. Community leaders often have a deep understanding of their community's dynamics, which can guide the nurse in providing culturally competent care.

D. Incorporate one's implicit bias into planned delivery of care:

This statement is not appropriate. Implicit bias should be recognized and actively addressed, rather than incorporated into care. Culturally competent care involves recognizing and challenging one's biases to ensure fair and equitable treatment for all individuals, regardless of their cultural background.

A. The client makes frequent eye contact during the teaching.

Explanation: While eye contact can be a positive non-verbal communication cue, it does not directly indicate understanding. Some individuals may maintain eye contact without necessarily comprehending the content.

B. The client demonstrates what they learned during the teaching.

Explanation: The most reliable indicator that a client understands the teaching is their ability to demonstrate what they have learned. This involves actively applying the information or skills taught during the teaching session. It ensures that the client has not only received information but has also comprehended and can apply it appropriately.

C. The client nods their head and smiles during the teaching.

Explanation: Nodding and smiling can be positive signs of engagement, but they do not guarantee comprehension or retention of information. Individuals may nod or smile as a social response without fully understanding the content.

D. The client wears their glasses and hearing aids during the teaching.

Explanation: Wearing glasses and hearing aids indicates sensory readiness and may facilitate the client's ability to receive information. However, it does not confirm understanding. The client could still wear these devices without fully grasping the taught material.