A nurse is providing teaching to a client who speaks a different language than the nurse and an interpreter is present. Which of the following findings should the nurse document that shows the client understands the teaching?
Client smiles and nods at the nurse.
Client makes eye contact with the nurse frequently.
Client has no questions for interpreter
Client points to objects on printed resources when nurse is speaking.
The Correct Answer is D
A. Client smiles and nods at the nurse: Smiling and nodding can be polite social gestures that do not necessarily reflect comprehension, especially when the client and nurse do not share a common language. These nonverbal cues might simply indicate that the client is listening or being courteous, rather than fully understanding the teaching content.
B. Client makes eye contact with the nurse frequently: Eye contact varies significantly across cultures; some cultures view direct eye contact as respectful, while others may see it as disrespectful or confrontational. Therefore, frequent eye contact is not a reliable indicator of understanding, especially in cross-cultural communication.
C. Client has no questions for interpreter: The absence of questions could indicate multiple possibilities, such as the client feeling hesitant to speak up, lack of understanding of the information, or cultural norms that discourage questioning authority figures. Silence alone does not confirm comprehension of the teaching.
D. Client points to objects on printed resources when nurse is speaking: Active participation, such as pointing to objects on visual aids or printed materials, shows that the client is processing and connecting the teaching information to tangible items. This behavior demonstrates engagement and comprehension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Refer coworkers who might have been exposed to a provider for prophylactic antibiotics: Anthrax exposure can be fatal if not treated early. Public health protocols recommend prophylactic antibiotics such as ciprofloxacin or doxycycline for those potentially exposed. Timely referral helps prevent the onset of disease.
B. Place the employee under quarantine for 14 days: Quarantine is typically used for contagious diseases that spread person to person, such as COVID-19 or influenza. Anthrax is not spread between individuals, so quarantining an exposed person is unnecessary and not a standard public health measure for this pathogen.
C. Alert the family members of coworkers about their possible exposure to anthrax: Because anthrax does not spread from person to person, there is no need to notify family members of potential exposure. Such an action could cause unnecessary alarm and would not contribute to effective disease control or prevention.
D. Instruct the client to wear a mask at work: Wearing a mask does not prevent the progression of anthrax in an exposed individual nor does it protect others, as anthrax is not contagious between humans. This measure would not address the exposure risk or help in disease managemet.
Correct Answer is B
Explanation
A. Weighing every other day is insufficient for heart failure management. Daily weight monitoring is essential to detect fluid retention early, as even small increases can indicate worsening heart failure and the need for medication adjustment.
B. Walking three or more times a week helps improve cardiovascular health and endurance without overexerting the heart. Regular, moderate exercise is recommended for heart failure clients to support functional status and prevent deconditioning.
C. Drinking 2.5 to 3 liters of water daily can lead to fluid overload in heart failure patients. These clients often require fluid restrictions to prevent worsening symptoms such as edema and shortness of breath due to impaired cardiac function.
D. Including whole milk with each meal increases saturated fat intake, which can worsen heart health. Low-fat dairy options are better suited for individuals with heart failure to manage cholesterol and cardiovascular risk.
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