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:

is required to sign official documents

is being oriented to the facility

indicates a desire to talk with the physician

begins crying and is inconsolable

Answer and Explanation

The Correct Answer is A

A.   When a patient is required to sign official documents, such as medical consent forms or advance directives, it is crucial that they understand the implications of their decisions. An interpreter can ensure that the patient fully comprehends the information and can make informed choices about their care.
B.   While an interpreter can be helpful for orientation, it is not as critical as when the patient is signing official documents.
C.   An interpreter can facilitate communication between the patient and the physician, ensuring that the patient's concerns and questions are fully understood. However, this is not as critical as when the patient is making important decisions about their care.
D.   While it is important to provide emotional support to a patient who is upset, an interpreter may not be necessary in this situation. The nurse can use nonverbal communication and other strategies to comfort the patient and address their emotional needs.

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Correct Answer is A

Explanation

A. In Korean culture, silence and avoiding eye contact can be seen as signs of respect and deference, especially towards individuals perceived as having authority or expertise. Therefore, the patient's behavior is likely not a sign of dissatisfaction or discomfort, but rather a cultural expression of respect for the nurse.
B. While it is possible for the patient to be dissatisfied with his care, the nurse should not assume this based solely on his behavior. It's important to consider cultural factors and use other communication strategies to assess the patient's needs and concerns.
C. This is not necessarily the case. The patient may simply be uncomfortable speaking up or asking questions in a language that is not his native tongue.
D. While it is possible for the patient to be uncomfortable discussing personal matters, the nurse should not assume this based solely on his behavior. It's important to consider cultural factors and use other communication strategies to assess the patient's needs and concerns.

A. assures the patient that all answers will be kept confidential B. explains the reason for asking the questions C. makes sure the interview area is comfortable and private. D. asks whether the patient has any questions about the Interview

Correct Answer is C

Explanation

A. While ensuring confidentiality is crucial for building trust and encouraging openness, it is often a standard assurance given after establishing a rapport. It does not directly address immediate comfort or the setting of the interview, which can have a significant impact on the patient’s initial anxiety.
B. Explaining the reason for asking questions can help the patient understand the purpose of the interview, making them feel more comfortable and less anxious. This can also help in building trust and encouraging the patient to provide more accurate and complete information. However, this explanation usually comes after ensuring that the interview environment is comfortable and private.
C. Creating a comfortable and private environment is a critical first step. A well-arranged and private interview area helps to make the patient feel safe and at ease, reducing their anxiety and enabling them to speak more freely. It sets the stage for a more successful and effective interview.
D. Allowing the patient to ask questions about the interview can be beneficial and may help in reducing anxiety. It provides an opportunity to clarify any uncertainties the patient might have. However, this step is usually more effective after addressing the immediate comfort and privacy concerns of the interview setting.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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

Correct Answer is C

Explanation

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