The nurse is caring for a client who speaks only Spanish. Which intervention by the nurse would be most appropriate?
Using a certified interpreter with a health-care background to interpret information
Asking a nurse who took a Spanish class in high school to interpret information
Asking the client’s daughter to interpret information
Asking the client's friend, who teaches Spanish, to interpret information
The Correct Answer is A
Choice A reason: Using a certified interpreter with a health-care background ensures accuracy, confidentiality, and cultural sensitivity. Certified interpreters are trained to convey medical terminology correctly and avoid misinterpretation. This approach promotes patient safety and compliance with legal and ethical standards.
Choice B reason: A nurse who took a Spanish class in high school may not have sufficient fluency or medical vocabulary to interpret accurately. Miscommunication could lead to errors in care and compromise patient safety.
Choice C reason: Asking the client’s daughter to interpret is inappropriate because family members may filter information, omit sensitive details, or feel uncomfortable. It also breaches confidentiality and places undue responsibility on the family member.
Choice D reason: A friend who teaches Spanish may have language skills but lacks medical training and professional accountability. Without certification, accuracy and confidentiality cannot be guaranteed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: PTSD symptoms include hyperarousal, flashbacks, and avoidance behaviors, not tremors or shuffling gait. Linking these motor symptoms to PTSD is inaccurate.
Choice B reason: Parkinson’s disease involves tremors and shuffling gait, but the client’s medication history and psychiatric background suggest drug-induced movement disorder rather than idiopathic Parkinson’s.
Choice C reason: Extrapyramidal symptoms (EPS) are drug-induced movement disorders commonly associated with antipsychotics, but can also occur with other medications. Tremors and shuffling gait are hallmark EPS features. This is the most important consideration for guiding assessment and response, as medication adjustments may be necessary.
Choice D reason: Alprazolam is a benzodiazepine, and while dependence and withdrawal are concerns, tremors and shuffling gait are not typical signs of addiction. EPS is a more clinically relevant explanation.
Correct Answer is C
Explanation
Choice A reason: Making assumptions refers to forming conclusions without evidence or communication. In this case, the parent is actively performing tasks, not simply assuming needs.
Choice B reason: Enabling dependency could apply, as the parent’s actions prevent the client from developing independence. However, the more precise term in family dynamics is “taking over,” which directly describes the parent assuming responsibilities that the adult client should manage.
Choice C reason: Taking over occurs when a family member assumes tasks or responsibilities that another individual is capable of performing. The parent doing laundry and providing money for a 40-year-old client exemplifies this dynamic, as it fosters dependence and limits autonomy.
Choice D reason: Communicating indirectly involves conveying messages without direct expression. The parent’s actions are direct behaviors, not indirect communication, so this option does not fit.
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