A nurse working in the emergency department is seeing an older patient who does not speak English well. The nurse calls for an interpreter. The student wants to know why the patient's minor child, who speaks English, cannot interpret. What response by the nurse is best? (Select all that apply.)

The patient has the right to interpretation

The child and older adult may be embarrassed

Privacy laws prohibit this practice

The child may not accurately translate

Having a child interpret takes too much time

Answer and Explanation

Correct Answer : A,B,C,D

A.   This response is correct because patients have the right to receive clear and accurate information about their medical care. Professional interpreters ensure that patients fully understand their medical conditions, treatment options, and procedures. Using a qualified interpreter respects the patient's right to competent and equitable care.
B.   Using a child as an interpreter can cause discomfort or embarrassment for both the child and the older adult. The situation might be emotionally charged, and the presence of a child in a professional medical setting could make the older adult feel uncomfortable or pressured.
C.   Privacy laws, such as the Health Insurance Portability and Accountability Act (HIPAA) in the U.S., emphasize the importance of maintaining patient confidentiality. While privacy laws primarily address the protection of patient information, they also suggest that sensitive discussions, such as those about health conditions and treatments, should be handled by trained professionals to ensure privacy and confidentiality are upheld. A child might not be able to maintain the same level of confidentiality as a professional interpreter.
D.   Children, especially minors, may lack the maturity, language proficiency, and medical vocabulary needed to accurately and effectively translate complex medical information. Miscommunication can
lead to misunderstandings about the patient’s condition and treatment, potentially compromising care.
E.   This response is not the most valid in this context. While it might be true that using an untrained interpreter could potentially take longer, the primary concerns are about accuracy, professionalism, and maintaining patient rights and confidentiality. The use of a professional interpreter ensures that communication is clear and precise, which is essential for effective medical care.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. A mentor is a seasoned professional who provides guidance, support, and advice to a less experienced person, often called a mentee. In the context of nursing, a mentor can help a novice nurse develop their skills, knowledge, and confidence.
B. A superior is a person who is higher in rank or authority than another. While a mentor may also be a superior, the term "mentor" emphasizes the role of providing guidance and support, rather than simply authority.
C. A manager is responsible for overseeing the work of others and ensuring that tasks are completed efficiently and effectively. While a mentor may also have managerial responsibilities, the term "mentor" focuses on the role of providing individual guidance and support.
D. A supervisor is a person who oversees the work of others and ensures that tasks are completed correctly. While a mentor may also have supervisory responsibilities, the term "mentor" emphasizes the role of providing guidance and support, rather than simply oversight.

A. Limit the number of visitors the patient can have B. Suggest shorter visits to the patients visitors C. Require visitors to check in at the front desk D. Only allow family members to visit the patient

Correct Answer is B

Explanation

A. Limiting the number of visitors may be a necessary step if the patient is becoming overwhelmed or tired. However, this approach might not consider the cultural significance of extended family and community in Arab American culture, where family involvement is often highly valued.
B. Suggesting shorter visits is a more balanced approach. It acknowledges the patient's need for rest while still respecting the importance of family and community involvement. This action can help manage the patient's fatigue while allowing them to maintain cultural and familial connections. It’s a compromise that accommodates both the patient's health needs and cultural values.
C. Requiring visitors to check in at the front desk can help manage visitor flow and ensure that the patient is not overwhelmed. However, this action does not directly address the issue of visitor duration or frequency, which might still lead to patient fatigue. It also might not align with cultural expectations of openness and hospitality in Arab American culture, where family and visitors are often seen as central to the patient’s well-being.
D. Allowing only family members to visit might help reduce the number of visitors and ensure that the patient receives support from those closest to them. However, this approach may be too restrictive and could potentially isolate the patient from their broader support network, which might be an important aspect of their cultural practices. It also does not address the underlying issue of managing visitor fatigue.

View Question and Answer

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

A nurse working in the emergency department is seeing an older patient who does not speak English well. The nurse calls for an interpreter. The student wants to know why the patient's minor child, who speaks English, cannot interpret. What response by the nurse is best? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The experienced nurse who assists a novice to learn the skills of the profession is called a(n)

Correct Answer is A

Explanation

A nurse is caring for an Arab American patient in the hospital. The patient has many visitors who seem to be tiring the patient. What action by the nurse is best?

Correct Answer is B

Explanation

Your patient reports frequent constipation as a result of prescription medications and asks the nurse for advice about using a dally over-the-counter laxative. The most appropriate response by the nurse is to:

To best minimize patient anxiety and help ensure a successful history assessment interview, the geriatric nurse first:

What data are necessary to compile an effective end-of-shift report? (Select all that apply.)

The nurse in an assisted living facility is preparing to admit an older adult patient who speaks very little English. The nurse decides that it is most Important that an Interpreter be present when the patient:

A patient is receiving propranolol (Inderal) for hypertension. Which outcome is the best indicator of goal success when considering the drugs potential effect on the patients quality of life?

The nurse responsible for administering medications to the residents of a long-term care facility shows an understanding of the risk of injury this population experiences when

A nurse is working with a woman who has been reluctant to start a walking program for her osteoporosis. What assessment by the nurse is most important?