Lab 2N Quiz

The nursing student is caring for a client who has difficulty speaking English. Which statement made by the nursing student would cause communication problems with the client? "I will give the client the call light." "I will involve the client's family members as interpreters." "I will provide a dictionary to the client if the client can read." "I will use boards and pictures to communicate with the client."

"I will involve the client's family members as interpreters." The nurse would not involve the client's family, especially children, as interpreters because they may misinterpret the client's feelings. The nurse would provide a call bell to the client to help the client ask for assistance. The nurse would provide a dictionary to the client if the client can read to help the client easily interpret her or his feelings. The nurse would use boards and pictures to aid in clear and effective communication with the client.Test-Taking Tip: Read the stem carefully. Try to recall all the care that is provided to a non-English-speaking client. Now read the options carefully and try to find out the answer that could lead to ineffective communication.

A daughter of a Chinese-speaking client approaches the nurse and asks multiple questions while maintaining direct eye contact. Which culturally related concept would the daughter's behavior reflect? Prejudice Stereotyping Assimilation Ethnocentrism

Assimilation Assimilation involves incorporating the behaviors of a dominant culture. Maintaining eye contact is characteristic of the American or Canadian culture and not of Asian cultures. Prejudice is a negative belief about another person or group and does not characterize this behavior. Stereotyping is the perception that all members of a group are alike. Ethnocentrism is the perception that one's beliefs are better than those of others.

How can the nurse evaluate the effectiveness of communication with a client? Client feedback Medical assessments Health care team conferences Client's physiological responses

Client feedback *Feedback permits the client to ask questions and express feelings and allows the nurse to verify client understanding.* Medical assessments do not always include nurse-client relationships. Team conferences are subject to all members' evaluations of a client's status. Nurse-client communication should be evaluated by the client's verbal and behavioral responses.

A Spanish-speaking client is being cared for by English-speaking nursing staff. Which communication technique would be correct for the nurse to use when discussing health care decisions with the client? Contact an interpreter provided by the hospital. Contact the client's family member to translate for the client. Communicate with the client using Spanish phrases the nurse learned in a college course. Communicate with the client with the use of a hospital-approved Spanish dictionary.

Contact an interpreter provided by the hospital *Interpreters provided by the health care organization should be used to communicate with clients with limited English proficiency to ensure accuracy of communicated information.* In hospital settings, it is not suitable for family members to translate health care information, but they can assist with ongoing interactions during the client's care. The other options do not ensure accurate interpretation of language.

A nursing student is conducting an assessment of a client who does not speak English. No interpreter is available. Which action by the student nurse is *incorrect*? Using medical terminology Proceeding in an unhurried manner Speaking in a low and moderate voice Pantomiming words and simple actions while verbalizing them

Using medical terminology Nurses would follow certain guidelines when interpreter is not available while assessing a client who does not understand English. Rather than using medical terminology, the nursing student should use simple, more well-known words, like "pain" instead of "discomfort." The nursing student's other actions are appropriate. Proceeding in an unhurried manner; speaking in a low, moderate voice; and pantomiming words and simple actions while verbalizing them promote effective communication.