A nurse manager in a public health clinic is reviewing the charts of five recent clients.

Exhibits

The nurse manager should identify which of the having conditions that require national notification? Select all that apply.

A. Identify the client's spoken dialect: Knowing the specific dialect is important for selecting an appropriate interpreter, but this should be done after securing access to interpretation services. It is a secondary step following the identification of the communication barrier.

B. Document the use of the interpreter: Documentation is a necessary legal and clinical step after care has been provided. It confirms communication occurred appropriately but is not the first priority when initiating communication.

C. Talk directly to the client: While it is respectful and essential to engage with the client directly once interpretation is arranged, doing so without an interpreter risks miscommunication and may compromise informed consent and care quality.

D. Contact a qualified medical interpreter: The first action is to ensure accurate communication by accessing a trained medical interpreter. This ensures the client receives information in a language they understand, which is critical for safe and effective care.

A. Teach the client about support groups in the community: This is an example of tertiary prevention because it aims to support clients in coping with an existing health condition and prevent further complications through emotional and social support.

B. Inform the client about home health visits to monitor effectiveness of care: This represents tertiary prevention, as it focuses on monitoring and managing a diagnosed condition to prevent further deterioration or readmission.

C. Teach the client about modifications for activities of daily living skills: This is tertiary prevention, targeting improved function and adaptation to chronic illness or disability and helping the client maintain independence.

D. Inform the client about ongoing screening for high-risk conditions: This is secondary prevention, as it involves early detection and prompt intervention for conditions like hypertension or diabetes, aiming to halt progression before complications develop.