A nurse is reinforcing discharge teaching with a client who speaks a different language than the nurse. Which of the following actions should the nurse take?
Reinforce discharge teaching with the client's partner who speaks the languages of both the client and the nurse.
Ask a nurse from another unit who speaks the same language as the client to reinforce the discharge teaching.
Request that a medical interpreter assist with translating the discharge teaching for the client.
Use nonverbal communication with gestures to reinforce discharge teaching with the client.
The Correct Answer is C
Choice A Reason:
Reinforcing discharge teaching with the client's partner who speaks the languages of both the client and the nurse is not appropriate. While involving the client's partner may be helpful, it's essential to ensure that the information is accurately and comprehensively translated. Relying solely on the partner may not guarantee clear communication.
Choice B Reason:
Asking a nurse from another unit who speaks the same language as the client to reinforce the discharge teaching is inappropriate. While this option might be helpful if such a nurse is available, it may not always be practical to find a nurse who speaks the specific language required. Additionally, the nurse's expertise in the discharge instructions may vary.
Choice C Reason:
Requesting that a medical interpreter assist with translating the discharge teaching for the client is appropriate. Using a medical interpreter ensures accurate and clear communication, reducing the risk of misunderstandings. It promotes effective communication between the nurse and the client, ensuring that important information about post-discharge care is accurately conveyed.
Choice D Reason:
Using nonverbal communication with gestures to reinforce discharge teaching with the client is inappropriate. While nonverbal communication and gestures can be supplementary, relying solely on them may not convey detailed information accurately. Important details about medications, follow-up appointments, and self-care may be lost without verbal communication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Inflating the catheter's balloon is done after proper placement to secure the catheter in the bladder. It should not be done when there is resistance and no urine flow.
Choice B Reason:
Twisting the catheter gently is correct. Resistance during catheter insertion may indicate the catheter is encountering an obstruction or is misaligned. Gently twisting the catheter can help navigate around obstructions or correct misalignment without causing trauma to the urethra.
Choice C Reason:
Applying lidocaine gel to the urethra is typically used for lubrication and to numb the urethra during catheter insertion, but it may not address the issue of resistance or lack of urine flow.
Choice D Reason:
Lowering the penis to a 45° angle is not a standard action in response to resistance during catheter insertion. Twisting the catheter gently is a more appropriate initial step.
Correct Answer is B
Explanation
Choice A Reason:
"I'll listen to my favorite music to take my mind off the pain." This statement refers to distraction techniques, like listening to music, which can help manage pain but isn't specifically guided imagery.
Choice B Reason:
"I'll think about my grandfather's farm to reduce pain." This statement indicates an understanding of this technique. Guided imagery involves creating a detailed mental image or scenario that promotes relaxation and diminishes pain perception. In this case, the client visualizing a familiar, pleasant place like their grandfather's farm can be an effective form of guided imagery to alleviate pain by diverting attention and inducing relaxation.
Choice C Reason:
"I'll use focused breathing to control my pain." This statement does not indicate an understanding of this technique.
Focused breathing, while beneficial for relaxation and pain management, is a different technique from guided imagery.
Choice D Reason:
"I'll learn to notice the sensation of muscle tension." This statement refers to progressive muscle relaxation, a technique involving systematically tensing and relaxing muscle groups, which isn't guided imagery.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.