An older adult client is brought to the emergency department via ambulance due to a fall. The client does not speak the area's dominant language. Shortly after the client arrives, several family members and a neighbor who called the ambulance arrive, all of whom speak the area's dominant language. When attempting to gather information about what happened, which action by the nurse is appropriate?
Ask the client explain as best as possible what occurred.
Have the neighbor who called the ambulance explain what happened.
Arrange for an interpreter to be present to translate.
Enlist the aid of a family member to Answer the nurse's questions
The Correct Answer is C
A. Asking the client to explain without language support may lead to miscommunication and incomplete information.
B. The neighbor may not have accurate or complete details and is not a reliable source for medical information.
C. Arranging for a professional interpreter ensures accurate and confidential communication, respecting the client’s rights.
D. Family members may unintentionally filter or alter information and might not be appropriate interpreters for medical details.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Stereotyping involves making generalized assumptions about a group, but this statement is more about imposing beliefs.
B. Cultural imposition occurs when one person forces their own cultural beliefs and values on another, as shown by the nurse insisting the client must walk regardless of their feelings or cultural preferences.
C. Culture shock is the feeling of disorientation when encountering a new culture, not imposing one’s own culture.
D. Cultural competence involves respecting and adapting care to meet the client’s cultural needs, which this statement lacks.
Correct Answer is C
Explanation
A. Notifying the provider only after surgery misses the opportunity to clarify and honor the client’s wishes beforehand.
B. Administering preoperative medications without addressing the client’s wishes could lead to ethical and legal issues.
C.The nurse should discuss and clarify the client’s wishes regarding resuscitation, document them clearly, and ensure the healthcare team is informed so that the client’s autonomy and advance directives are respected.
D. Verbally reporting to the OR supervisor is important but insufficient without proper documentation and discussion with the healthcare team and client.
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