Which of the following are reasons to conduct a health history using an interpreter? (Select all that apply)
To increase the client’s satisfaction with care.
To decrease the cost of care.
To increase the accuracy of the communication.
To increase the self-esteem of the client.
The Correct Answer is A
Choice A reason: Using an interpreter enhances client satisfaction by ensuring clear communication, respecting language needs, and fostering trust. This improves patient engagement and care quality, critical for positive healthcare experiences. Accurate language support prevents misunderstandings, ensuring clients feel heard and valued, especially in diverse populations with language barriers.
Choice B reason: Interpreters increase initial costs due to service fees, not decrease them. The focus is on communication accuracy and satisfaction, not cost reduction. Assuming cost savings misaligns with interpreter use, risking neglect of language needs, which could lead to errors or dissatisfaction in patients with limited English proficiency.
Choice C reason: Interpreters increase communication accuracy by bridging language gaps, ensuring precise health history collection and reducing errors in diagnosis or treatment. This is critical for safe, effective care in non-English-speaking patients, preventing misinterpretations that could compromise health outcomes and patient safety in clinical settings.
Choice D reason: While interpreters may indirectly support self-esteem by respecting language needs, this is not a primary reason for their use. Accuracy and satisfaction are key. Assuming self-esteem is the focus risks prioritizing emotional over practical needs, potentially neglecting communication accuracy critical for effective health history and care planning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Dementia is a progressive condition causing memory decline and impaired daily activities, as seen in Alzheimer’s or vascular dementia. This definition aligns with clinical criteria, guiding diagnosis and care like cognitive therapy or medications. Accurate recognition ensures proper support, critical for improving quality of life in affected patients.
Choice B reason: Assuming false is incorrect, as dementia accurately describes progressive cognitive and functional decline. Misidentifying this risks misunderstanding the condition, potentially delaying diagnosis or interventions like cholinesterase inhibitors. Recognizing dementia’s definition ensures timely care planning, essential for managing symptoms and supporting patients and families in chronic cognitive disorders.
Correct Answer is C
Explanation
Choice A reason: Crackles are discontinuous, high-pitched popping sounds heard during inspiration, often due to fluid in alveoli, as in pneumonia. The described continuous, low-pitched snoring sound indicates rhonchi, not crackles. Misidentifying crackles risks incorrect respiratory assessment, potentially delaying treatment for conditions like bronchitis requiring airway clearance or antibiotics.
Choice B reason: Wheezing is a high-pitched, musical sound caused by narrowed airways, typically in asthma or COPD, not a low-pitched snoring sound. The description matches rhonchi, indicating mucus in larger airways. Assuming wheezing misguides diagnosis, risking inappropriate bronchodilator use instead of interventions like suctioning for rhonchi-related conditions.
Choice C reason: Rhonchi are continuous, low-pitched, snoring-like sounds caused by mucus or secretions in larger airways, often in bronchitis or COPD. They may clear with coughing, matching the description. Accurate identification ensures proper interventions, like airway clearance or antibiotics, preventing complications like atelectasis or infection in patients with obstructive lung conditions.
Choice D reason: Pleural friction rub is a grating, creaking sound from inflamed pleural surfaces, not a snoring-like sound. It persists through the respiratory cycle, unlike rhonchi, which involve airway secretions. Misidentifying as a rub risks missing airway issues, delaying treatments like mucolytics, critical for managing conditions causing rhonchi in respiratory assessment.
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