A nurse is providing discharge instructions to a client who has hypertension. The client is from Haiti and speaks Creole. The nurse uses an interpreter to communicate with the client. Which statement by the nurse indicates effective use of an interpreter?

"Please tell the client to take one tablet of lisinopril every morning with food."

"Can you ask the client if they have any questions about their medications?"

"How do you say 'blood pressure' in Creole?"

"Do you think the client understands what I am saying?"

Answer and Explanation

The Correct Answer is A

Rationale: The nurse indicates effective use of an interpreter by using this statement, as it follows the best practices for working with an interpreter, such as speaking directly to the client in short sentences, using clear and simple language, and avoiding jargon or slang.

Incorrect options:

B) "Can you ask the client if they have any questions about their medications?" - This is not an effective use of an interpreter , as it creates a barrier between the nurse and the client by asking the interpreter to ask the client directly. The nurse should directly address the client and ask if they have any questions about their medications.

C) "How do you say 'blood pressure' in Creole?" - While it may be helpful for the nurse to learn some basic Creole terminology, this statement does not indicate effective use of an interpreter. The nurse should focus on communicating the necessary information to the client and rely on the interpreter for accurate translation.

D) "Do you think the client understands what I am saying?" - This statement does not indicate effective use of an interpreter. Instead, the nurse should directly ask the client if they understand the instructions and information provided, and seek clarification or additional explanation if needed.

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Correct Answer is B

Explanation

Rationale: The nurse should use this strategy to promote cultural competence in health education, as it shows respect for the clients' culture and diversity, acknowledges their unique needs and preferences, and enhances their understanding and engagement.

Incorrect options:

A) Using standardized materials that are written in English and have pictures of people from different races and ethnicities. - This is not a culturally competent strategy, as it may not address the specific needs or concerns of each client group, and it may not be accessible or appropriate for clients who have limited English proficiency or literacy skills.

C) Avoiding any mention of culture or diversity, and focusing on the scientific facts and evidence-based guidelines for diabetes management. - This is not a culturally competent strategy, as it may ignore or dismiss the influence of culture on health behaviors, beliefs, and outcomes, and it may not be relevant or acceptable for clients who have different worldviews or values regarding health and illness.

D) Asking each client group to share their own experiences and challenges with diabetes, and facilitating a discussion among them. - This is not a culturally competent strategy, as it may put undue burden on the clients to educate each other or expose their personal information, and it may create conflict or misunderstanding among clients who have different perspectives or opinions.

A. The client is shy and nervous. B. The client is disrespectful and rude. C. The client is showing respect and deference. D. The client is hiding something or lying.

Correct Answer is C

Explanation

Rationale: The nurse should interpret the client's behavior as showing respect and deference, as this is a common cultural norm among some Native American groups. Eye contact may be considered intrusive or aggressive in some cultures, and avoiding eye contact may indicate respect for authority or elders.

Incorrect options:

A) The client is shy and nervous. - This is not a correct interpretation, as it may reflect the nurse's own cultural bias or assumption, rather than the client's actual feelings or intentions.

B) The client is disrespectful and rude. - This is not a correct interpretation, as it may reflect the nurse's own cultural bias or assumption, rather than the client's actual feelings or intentions.

D) The client is hiding something or lying. - This is not a correct interpretation, as it may reflect the nurse's own cultural bias or assumption, rather than the client's actual feelings or intentions.

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A nurse is providing discharge instructions to a client who has hypertension. The client is from Haiti and speaks Creole. The nurse uses an interpreter to communicate with the client. Which statement by the nurse indicates effective use of an interpreter?

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Correct Answer is B

Explanation

A nurse is conducting a health assessment for a client who identifies as Native American. The nurse notices that the client avoids eye contact during the interview. How should the nurse interpret this behavior?

Correct Answer is C

Explanation

A nurse is providing discharge instructions to a client who has hypertension. The client is from Haiti and speaks Creole. The nurse uses an interpreter to communicate with the client. Which statement by the nurse indicates effective use of an interpreter?

A nurse is caring for a client who is Muslim and observes Ramadan. The client is scheduled to undergo a surgical procedure in the morning. Which action by the nurse demonstrates cultural sensitivity?

A nurse is caring for a client who has recently immigrated from China and does not speak English. Which action by the nurse demonstrates cultural competence?