The nurse needs to obtain a health history from a Spanish-speaking patient. Which action by the nurse is best?

Interview the patient's English-speaking daughter.

Ask a bilingual friend of the patient to interpret.

Request a Spanish-speaking medical interpreter.

Use nonverbal communication and draw pictures.

Answer and Explanation

The Correct Answer is C

A. Using the patient's daughter might introduce errors or misunderstandings and is not a professional approach for obtaining accurate health information.

B. A bilingual friend is not a professional interpreter and might not maintain confidentiality or provide accurate translations.

C. Requesting a Spanish-speaking medical interpreter ensures that the communication is accurate, professional, and confidential, which is crucial for obtaining a health history.

D. Nonverbal communication and drawings are insufficient for comprehensive health history and might not convey complex medical information.

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Correct Answer is A

Explanation

A. Asking the patient to describe what happened provides an opportunity for them to express their concerns and opens a dialogue for finding a solution.

B. Assuming the patient will sleep better tonight without addressing current issues dismisses their concerns.

C. Generalizing about hospital conditions is dismissive and does not address the patient’s specific issue.

D. Focusing on possible causes without understanding the patient’s experience may come across as accusatory or dismissive.

A. "If you keep saying that I will tell everyone what you did last night." B. "Please do not raise your voice at the children. I am the one who left dishes in the sink." C. "Can you tell me the reason you get upset each time I go to the mall?" D. "She is always bossing me around. Should she do that?"

Correct Answer is C

Explanation

A. This statement is a threat and does not promote effective communication.

B. This is an example of taking responsibility but not necessarily fostering effective communication.

C. This is an example of effective communication as it seeks to understand the underlying reasons for behavior.

D. This statement does not foster constructive dialogue or problem-solving.

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The nurse needs to obtain a health history from a Spanish-speaking patient. Which action by the nurse is best?

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