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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Religious influences can shape beliefs about death and afterlife, but may not directly determine how grief is expressed.
B. Cultural influences play a major role in how individuals express grief, including rituals, emotional display, and mourning practices. Culture often guides acceptable behaviors and expressions during grieving.
C. Socioeconomic factors can affect access to support and resources but are less directly tied to the expression of grief.
D. Cause of death can influence the intensity or duration of grief but is less likely than culture to shape how grief is outwardly expressed.

A. Don't follow through with the order, and delete it from the record B. Inform the provider, to ensure safety for the client, it must be read back C. Proceed with the order since the nurse heard it the first time D. Ask the secretary to call the provider back and take the order

Correct Answer is B

Explanation

A. Not following the order and deleting it is inappropriate and could cause legal issues.
B. The nurse must insist on the read-back to ensure the order is accurate and protect client safety, despite the provider’s impatience.
C. Proceeding without confirmation risks errors and compromises safety.
D. Delegating the order to the secretary is unprofessional and unsafe; the nurse must communicate directly with the provider.

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Naxlex Comprehensive Predictor Exams

Although all of the following are factors that affect grief, which one is most likely to influence a person's expression of grief?

Correct Answer is B

Explanation

Correct Answer is B

Explanation

Which client is most at risk for foot difficulties?

Accreditation by which organization is legally required for a school of nursing to exist?

Which client would be classified as having chronic pain?

The nurse is caring for a client who has been prescribed an enteric-coated drug. Which should the nurse include when teaching the client proper administration of this drug?

In order to prevent the possibility of venous stasis, a nurse is educating a surgical client on how to perform leg exercises. Which statement by the client indicates a sound understanding of leg exercises?

A preoperative assessment finds a client to be 75 lb (34 kg) overweight. The client is to have abdominal surgery. What nursing concern will be used for care planning based on the client's weight?

A home care nurse is educating a client with diabetes on how to self-administer insulin. Which teaching point should the nurse include in the education plan?

Which misconception is common in clients in pain?