A nurse is caring for an Arab American patient in the hospital. The patient has many visitors who seem to be tiring the patient. What action by the nurse is best?

Limit the number of visitors the patient can have

Suggest shorter visits to the patients visitors

Require visitors to check in at the front desk

Only allow family members to visit the patient

Answer and Explanation

The Correct Answer is B

A.   Limiting the number of visitors may be a necessary step if the patient is becoming overwhelmed or tired. However, this approach might not consider the cultural significance of extended family and community in Arab American culture, where family involvement is often highly valued.
B.   Suggesting shorter visits is a more balanced approach. It acknowledges the patient's need for rest while still respecting the importance of family and community involvement. This action can help manage the patient's fatigue while allowing them to maintain cultural and familial connections. It’s a compromise that accommodates both the patient's health needs and cultural values.
C.   Requiring visitors to check in at the front desk can help manage visitor flow and ensure that the patient is not overwhelmed. However, this action does not directly address the issue of visitor duration or frequency, which might still lead to patient fatigue. It also might not align with cultural expectations of openness and hospitality in Arab American culture, where family and visitors are often seen as central to the patient’s well-being.
D.   Allowing only family members to visit might help reduce the number of visitors and ensure that the patient receives support from those closest to them. However, this approach may be too restrictive and could potentially isolate the patient from their broader support network, which might be an important aspect of their cultural practices. It also does not address the underlying issue of managing visitor fatigue.

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Correct Answer is C

Explanation

A. While these symptoms can be associated with alcohol withdrawal, they are not as indicative of an immediate medical emergency as tachycardia and hypertension.
B. While these symptoms may suggest cognitive impairment, they are not as indicative of impending alcohol withdrawal syndrome as tachycardia and hypertension.
C. Alcohol withdrawal can lead to various physiological changes, including increased heart rate and blood pressure. A pulse of 118 beats/min and a blood pressure of 160/90 indicate a significant increase in both vital signs, which could be a sign of impending alcohol withdrawal syndrome.
D. These vital signs are within normal limits and do not indicate a significant risk of alcohol withdrawal syndrome.

A. The patient has the right to interpretation B. The child and older adult may be embarrassed C. Privacy laws prohibit this practice D. The child may not accurately translate E. Having a child interpret takes too much time

Correct Answer is ["A","B","C","D"]

Explanation

A. This response is correct because patients have the right to receive clear and accurate information about their medical care. Professional interpreters ensure that patients fully understand their medical conditions, treatment options, and procedures. Using a qualified interpreter respects the patient's right to competent and equitable care.
B. Using a child as an interpreter can cause discomfort or embarrassment for both the child and the older adult. The situation might be emotionally charged, and the presence of a child in a professional medical setting could make the older adult feel uncomfortable or pressured.
C. Privacy laws, such as the Health Insurance Portability and Accountability Act (HIPAA) in the U.S., emphasize the importance of maintaining patient confidentiality. While privacy laws primarily address the protection of patient information, they also suggest that sensitive discussions, such as those about health conditions and treatments, should be handled by trained professionals to ensure privacy and confidentiality are upheld. A child might not be able to maintain the same level of confidentiality as a professional interpreter.
D. Children, especially minors, may lack the maturity, language proficiency, and medical vocabulary needed to accurately and effectively translate complex medical information. Miscommunication can
lead to misunderstandings about the patient’s condition and treatment, potentially compromising care.
E. This response is not the most valid in this context. While it might be true that using an untrained interpreter could potentially take longer, the primary concerns are about accuracy, professionalism, and maintaining patient rights and confidentiality. The use of a professional interpreter ensures that communication is clear and precise, which is essential for effective medical care.

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A nurse is caring for an Arab American patient in the hospital. The patient has many visitors who seem to be tiring the patient. What action by the nurse is best?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing patients for impending alcohol withdrawal. The nurse assesses the patient with which of the following conditions as a priority?

Correct Answer is C

Explanation

A nurse working in the emergency department is seeing an older patient who does not speak English well. The nurse calls for an interpreter. The student wants to know why the patient's minor child, who speaks English, cannot interpret. What response by the nurse is best? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

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