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.
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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Related Questions
Correct Answer is C
Explanation
A. Examine the outcomes: This step comes later in the process when evaluating potential decisions and their consequences.
B. Determine possible alternatives: Identifying possible alternatives occurs after defining the problem to explore appropriate solutions.
C. Identify the problem. The first step in the ethical reasoning process is to clearly identify and define the ethical problem or dilemma. Understanding the issue provides the foundation for gathering relevant information, analyzing the situation, and making an informed decision.
D. Develop a plan of action: Developing an action plan is one of the final steps after considering the ethical principles, possible alternatives, and anticipated outcomes.
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.
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