A nurse educates a client with limited English-speaking skills about their disease. What action should the nurse take to ensure the client is able to understand the teaching?
Request that handouts be prepared for the client.
Provide information with graphics and photographs.
Ask a family member to translate instructions.
Use a trained medical interpreter for translation.
The Correct Answer is D
A. Request that handouts be prepared for the client: While handouts can supplement teaching, simply providing written materials may not ensure understanding, especially if the client has limited literacy or language proficiency. Handouts alone are insufficient for accurate comprehension.
B. Provide information with graphics and photographs: Visual aids can enhance understanding, but they may not fully convey complex medical information or instructions. Relying solely on visuals can lead to misinterpretation without proper translation.
C. Ask a family member to translate instructions: Using a family member for translation can risk inaccurate or incomplete communication and may compromise confidentiality. Medical terminology may be misunderstood, which can affect safe care.
D. Use a trained medical interpreter for translation: A trained medical interpreter ensures accurate, culturally appropriate communication and helps the client fully understand the teaching. This approach supports informed decision-making and patient safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. It reduces the client's anxiety during the assessment: While gentle touch may help the client feel more comfortable, the primary purpose of light palpation is not to reduce anxiety but to gather assessment data. Anxiety reduction is a secondary benefit rather than the main objective.
B. It helps identify areas of tenderness and abnormalities: Light palpation allows the nurse to feel surface characteristics, detect tenderness, and identify abnormalities such as masses or swelling. It is the initial step in palpation before progressing to deeper techniques, providing important information about the abdominal area.
C. It is the only technique used for abdominal assessment: Light palpation is just one technique. Deep palpation and other assessment methods like inspection, percussion, and auscultation are also necessary for a complete abdominal assessment.
D. It allows for the assessment of the abdominal organs: Assessment of deeper abdominal organs requires deep palpation, not light palpation. Light palpation primarily evaluates superficial structures and detects areas that may need further examination.
Correct Answer is B
Explanation
A. Identify the needed nursing actions to address the client's health problem: Planning and determining interventions occur in the planning phase, not during assessment. Assessment focuses on data collection rather than action implementation.
B. Interview the client about current and past health history: Collecting subjective and objective information through interviews, observation, and examination is the core of the assessment phase. This information forms the foundation for identifying problems and planning care.
C. Measure the success of the care goals: Evaluating whether goals have been met is part of the evaluation phase. It occurs after interventions have been implemented and outcomes are assessed.
D. Develop the expected outcome with the client: Establishing expected outcomes is part of the planning phase. It follows assessment and involves collaboration with the client to determine realistic and measurable goals.
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