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 B

Explanation

A. "I will use a Class A extinguisher for an electrical fire." Class A extinguishers are for fires involving wood, paper, and cloth, not electrical fires. Class C is appropriate for electrical fires.
B. "I should spray the extinguisher from side to side on the fire." This technique is recommended to ensure the fire is completely extinguished.
C. "I will attempt to extinguish the fire before calling the fire department." The fire department should be called immediately to ensure prompt response, even if the fire appears controllable.
D. "I should change the batteries in my smoke alarms every 2 years." Batteries in smoke alarms should be changed at least once a year or as recommended by the manufacturer.

A. Health insurance information B. Need for special equipment C. Name of facility social worker D. Medication administration record

Correct Answer is B

Explanation

A. Health insurance information: Financial details are not included in a clinical handoff report.
B. Need for special equipment: Information about special equipment (e.g., oxygen or mobility aids) is essential for continuity of care.
C. Name of facility social worker: This is not a critical piece of information for client care during the transfer.
D. Medication administration record: Medication details should be summarized in the report, but the full record is sent separately.

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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?

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