During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-year-old Hispanic patient with limited English proficiency.
It is important for the nurse to:.
Use maternity jargon in order for the patient to become familiar with these terms.
Speak quickly and efficiently to expedite the visit.
Provide the patient with handouts.
Assess whether the patient understands the discussion.
The Correct Answer is D
Choice A rationale:
Using maternity jargon might confuse the patient, especially if she has limited English proficiency. It is important to use simple and clear language to ensure the patient understands the information. Using jargon would not be effective in this situation.
Choice B rationale:
Speaking quickly and efficiently may further complicate communication, especially considering the patient's limited English proficiency. It is crucial to speak slowly, clearly, and allow time for the patient to process and respond. Rushing the conversation may hinder effective communication.
Choice C rationale:
Providing handouts can be helpful, but it should not be the sole method of communication, especially when dealing with a patient who has limited English proficiency. Handouts may not be available in the patient's language or may not address her specific concerns. Assessing direct understanding through conversation is essential.
Choice D rationale:
Assessing whether the patient understands the discussion is the most crucial step. This can be done through various methods, such as asking open-ended questions, using interpreters if necessary, and encouraging the patient to ask questions. Ensuring the patient comprehends the information provided is vital for her overall care and adherence to medical advice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Soccer involves running, sudden stops, and potential collisions, which can increase the risk of injuries and bleeding in children with hemophilia. While moderate exercise is generally beneficial for individuals with hemophilia, activities with a high risk of trauma, like soccer, should be avoided to prevent bleeding episodes. Therefore, soccer is not the recommended sport for children with hemophilia.
Choice B rationale:
Swimming is a highly recommended sport for children with hemophilia. It is a low-impact exercise that improves cardiovascular health, strength, and flexibility without putting excessive stress on the joints. Swimming also reduces the risk of bleeding episodes, making it a safe and suitable choice for individuals with hemophilia.
Choice C rationale:
Basketball involves rapid movements, jumping, and physical contact, all of which can increase the risk of injuries and bleeding in children with hemophilia. Engaging in sports that involve frequent collisions or physical impact can lead to joint bleeds and other complications in individuals with hemophilia. Therefore, basketball is not the recommended sport for children with hemophilia.
Choice D rationale:
Football, similar to soccer and basketball, involves intense physical contact and rapid movements, making it a high-risk sport for children with hemophilia. Engaging in such activities significantly increases the likelihood of bleeding episodes and injuries. Therefore, football is not the recommended sport for children with hemophilia.
Correct Answer is D
Explanation
Choice A rationale:
Leaving the infant in the room with the mother may not be appropriate, especially given the difficult delivery and the risk of complications, such as hypoglycemia.
Choice B rationale:
Taking the infant immediately to the nursery without monitoring vital signs and glucose levels could lead to missed signs of distress or hypoglycemia.
Choice C rationale:
Performing a gestational age assessment is important, but the immediate concern for this infant is the risk of hypoglycemia due to macrosomia (large birth weight). This choice does not address the immediate issue at hand.
Choice D rationale:
The correct answer. Macrosomic infants, especially those born after a difficult delivery, are at risk of hypoglycemia due to the excessive insulin production in response to high blood glucose levels. It is crucial to monitor the infant's blood glucose levels frequently and observe closely for signs of hypoglycemia, such as jitteriness, poor feeding, and lethargy.
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