A nurse in a mobile health clinic is caring for a client who requires an immunization and does not speak the same language as the nurse. Which the following actions should the nurse take first?

Identify the client's spoken dialect.

Document the use of the interpreter.

Talk directly to the client.

Contact a qualified medical interpreter.

Answer and Explanation

The Correct Answer is D

A. Identify the client's spoken dialect: Knowing the specific dialect is important for selecting an appropriate interpreter, but this should be done after securing access to interpretation services. It is a secondary step following the identification of the communication barrier.

B. Document the use of the interpreter: Documentation is a necessary legal and clinical step after care has been provided. It confirms communication occurred appropriately but is not the first priority when initiating communication.

C. Talk directly to the client: While it is respectful and essential to engage with the client directly once interpretation is arranged, doing so without an interpreter risks miscommunication and may compromise informed consent and care quality.

D. Contact a qualified medical interpreter: The first action is to ensure accurate communication by accessing a trained medical interpreter. This ensures the client receives information in a language they understand, which is critical for safe and effective care.

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Correct Answer is B

Explanation

A. Consulting with the provider throughout a client's course of treatment: Consulting with providers is a collaborative practice that supports coordinated care and is a standard professional responsibility, not typically a liability concern for case managers.

B. Providing recommendations to a client about alternatives to treatments prescribed by their provider: Making treatment recommendations without proper authorization or outside the scope of practice can lead to liability issues. Case managers must avoid advising clients to alter prescribed treatments and instead facilitate communication between clients and providers.

C. Verifying a provider's licensure before referring the client to them: Verifying licensure ensures the provider’s credentials are valid and protects clients from unqualified practitioners. This is a standard safety practice and does not pose liability for the case manager.

D. Determining a client's literacy level before providing advance directive documents:
Assessing literacy helps tailor education and ensures client understanding, which supports informed decision-making and reduces liability risks related to inadequate communication. This is a prudent nursing action, not a liability concern.

A. "What are your hopes and plans for the future?" B. "How long did you know the person who died?" C. "Have you thought about harming yourself?" D. "What do others do for you that helps you the most?"

Correct Answer is D

Explanation

A. "What are your hopes and plans for the future?" This question helps assess the client's coping and outlook, which is important in grief counseling, but it does not directly provide information about the client's support systems.

B. "How long did you know the person who died?" This question explores the depth and duration of the relationship, which can help gauge the intensity of grief. However, it does not provide insight into who the client relies on now for emotional or practical support.

C. "Have you thought about harming yourself?" This is a critical safety question to assess for suicidal ideation, which should always be asked if there are concerns about the client’s mental health. However, it does not identify support systems; rather, it screens for immediate risk.

D. "What do others do for you that helps you the most?" This question directly explores the actions of support persons and reveals who is actively providing emotional or practical assistance. It helps the nurse understand the client's support network and the quality of that support, making it the best option for assessing support systems.

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A nurse in a mobile health clinic is caring for a client who requires an immunization and does not speak the same language as the nurse. Which the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A case management nurse is providing education about liability to a newly licensed nurse. Which of the following should the nurse include as an example of a liability concern for case managers?

Correct Answer is B

Explanation

A nurse is caring for a client who is grieving. Which of the following questions should the nurse ask to identify the client's support systems?

Correct Answer is D

Explanation

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