A Spanish-speaking family comes to the public health department. No one in the family speaks English, and nobody at the health department speaks Spanish. Which of the following actions should be taken by the nurse?

Call the local hospital and arrange a referral.

Attempt communication using an English-Spanish phrase book.

Emphatically state, "No hablo Español" (I don't speak Spanish).

Obtain an interpreter to translate.

Answer and Explanation

The Correct Answer is D

A. Call the local hospital and arrange a referral: A referral does not immediately address the family’s communication needs. The nurse should first attempt to provide care with proper interpretation.

B. Attempt communication using an English-Spanish phrase book: A phrase book is inadequate for complex medical discussions and could lead to miscommunication.

C. Emphatically state, "No hablo Español" (I don't speak Spanish): This response is dismissive and does not help the family receive the care they need.

D. Obtain an interpreter to translate: The best practice is to use a professional interpreter to ensure accurate communication and avoid misunderstandings in medical care.

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Correct Answer is A

Explanation

A. Elevated growths with a "cauliflower" appearance: HPV lesions, or genital warts, present as raised, rough-textured growths resembling a cauliflower, often found in the genital and anal areas.

B. Thin-walled pustules that rupture to form honey-colored crusts: This describes impetigo, a bacterial skin infection, not HPV.

C. Vesicles that ulcerate and crust within 1 to 4 days: This describes herpes simplex virus (HSV) lesions, which differ from HPV warts in appearance and progression.

D. Solitary growth with elevated borders and a central depression: This describes basal cell carcinoma, not HPV-related lesions.

A. Poultry B. Water parks C. Petting zoos D. Carrots

Correct Answer is C

Explanation

A. Poultry: Poultry is more commonly associated with Salmonella and Campylobacter infections rather than E. coli 0157:H7.

B. Water parks: While waterborne outbreaks can occur, direct animal contact is a greater risk factor for E. coli 0157:H7 infection.

C. Petting zoos: Petting zoos pose a significant risk because E. coli 0157:H7 can be transmitted through contact with infected animals and their feces. Children and immunocompromised individuals are especially vulnerable.

D. Carrots: While contaminated produce has been linked to E. coli outbreaks, petting zoos pose a higher risk due to direct exposure to infected animals.

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A Spanish-speaking family comes to the public health department. No one in the family speaks English, and nobody at the health department speaks Spanish. Which of the following actions should be taken by the nurse?

Nursing Test Bank

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