A nurse is contributing to the plan of care for a client who speaks a different language than the nurse. Which of the following interventions should the nurse include to facilitate communication with the client?

Observe the client's verbal and nonverbal behaviors.

Ask the client's adolescent child to act as an interpreter.

Avoid the use of gestures.

Speak directly to the interpreter.

Answer and Explanation

The Correct Answer is A

A.   Observe the client's verbal and nonverbal behaviors. Observing nonverbal cues helps assess understanding and emotional responses when there is a language barrier.
B.   Ask the client's adolescent child to act as an interpreter. Family members, especially minors, should not interpret due to confidentiality and potential inaccuracies.
C.   Avoid the use of gestures. Gestures can be helpful when used appropriately, though cultural considerations are necessary.
D.   Speak directly to the interpreter. The nurse should speak directly to the client, even when an interpreter is present, to maintain rapport and respect.

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Correct Answer is D

Explanation

A. Tell the client's partner the charge nurse can provide the results: The charge nurse would still be bound by HIPAA regulations and cannot share the client's information without consent.
B. Tell the client's partner the results of the laboratory tests: Sharing health information without the client’s permission violates HIPAA regulations.
C. Tell the client's partner not to worry about the results: This response dismisses the partner's concerns and does not address the privacy issue.
D. Tell the client's partner to ask the client about the results: This is the appropriate action, as the client has the right to choose whom to share their health information with.

A. A nurse tells a client's health care surrogate that the client might require restraints if diversion activities are ineffective. B. A staff member reports to the unit supervisor during a private meeting that a coworker is possibly impaired. C. A nurse documents that a client was shouting and directly quotes the client's words. D. A client overhears an assistive personnel make a false statement about the assigned nurse and requests a different nurse.

Correct Answer is D

Explanation

A. A nurse tells a client's health care surrogate that the client might require restraints if diversion activities are ineffective: This does not meet the criteria for slander, as it involves a potential clinical plan of care rather than false statements.
B. A staff member reports to the unit supervisor during a private meeting that a coworker is possibly impaired: Communication during a private meeting does not constitute slander.
C. A nurse documents that a client was shouting and directly quotes the client's words: Documenting client behavior accurately in the medical record does not qualify as slander.
D. A client overhears an assistive personnel make a false statement about the assigned nurse and requests a different nurse: Slander involves making false verbal statements that harm someone's reputation. If overheard, this constitutes slander.

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A nurse is contributing to the plan of care for a client who speaks a different language than the nurse. Which of the following interventions should the nurse include to facilitate communication with the client?

Nursing Test Bank

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