A nurse is preparing to perform preoperative care for a client who does not speak the same language as the nurse. The client has signed the informed consent form, but is refusing preoperative care. Which of the following actions should the nurse take?
Ask the client's son to explain the preoperative interventions.
Inform the provider about the situation with the client.
Reinforce the benefits of the surgery to the client.
Request another client who speaks the same language to act as an interpreter.
The Correct Answer is B
A. Ask the client's son to explain the preoperative interventions. This is not appropriate as it may lead to miscommunication and is not in line with professional standards for interpretation.
B. Inform the provider about the situation with the client. This is correct. The provider should be informed to address the client's refusal of preoperative care appropriately.
C. Reinforce the benefits of the surgery to the client. Reinforcing the benefits does not address the communication barrier and the client's immediate refusal.
D. Request another client who speaks the same language to act as an interpreter. This is inappropriate and breaches confidentiality. Professional interpreters should be used.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A,D,C,B,E
Explanation
- Place the client in a lying position. This step ensures that the client is in a stable and safe position before applying the restraint.
- Assist the client to a sitting position. Once the client is stable, assisting them to a sitting position ensures that they are comfortably positioned for restraint application.
- Apply the belt at the client's waist over his clothing. Applying the belt over the clothing at the waist secures the client and prevents movement.
- Thread the ties through the belt. Threading the ties through the belt ensures that the restraint is properly secured.
- Attach restraint straps to the bedframe. Finally, attaching the restraint straps to the bedframe ensures that the restraint is firmly secured and the client cannot easily remove it.
Correct Answer is B
Explanation
A. Older adults have difficulty maintaining friendships. This statement is not universally true and can be misleading. While some older adults may face challenges in maintaining friendships due to health issues or mobility limitations, many continue to have active social lives.
B. Older adults are completing Erikson's developmental task of integrity vs despair. According to Erikson’s stages of psychosocial development, older adults (65 years and older) face the challenge of reflecting on their lives and achieving a sense of integrity versus despair.
C. Older adults are less involved in political and community activities. This statement is not necessarily true. Many older adults remain active in political and community activities.
D. Older adults are in Piaget's developmental stage of concrete operations. The concrete operational stage is part of Piaget’s theory of cognitive development and typically applies to children aged 7 to 11 years.
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