Mrs. Nguyen immigrated to the United States 2 years ago, but she ...

[WWatsford]

Mrs. Nguyen immigrated to the United States 2 years ago, but she is not yet able to understand or speak English. Which of the following practices should then a nurse follow when obtaining translation for Mrs. Nguyen into Vietnamese?
 
  A) Have Mrs. Nguyen's niece, aged 9 years, translate the nurse's assessment.
  B) Provide written material to supplement an explanation in simple English.
  C) Determine whether it is possible to complete Mrs. Nguyen's treatment without having to communicate directly with her.
  D) Enlist the services of a hospital translator.

Question 2

A client undergoing a colonoscopy tomorrow is receiving preoperative teaching regarding the procedure. Which of the following nursing tasks best describes the explanation of the procedure and the associated risks and benefits?
 
  A) Ascertaining the client's privacy
  B) Acquiring informed consent
  C) Encouraging the client to be self-determined
  D) Acting in a beneficent manner

[yasmin]

Answer to Question 1

Ans: D
Clients who are non-English speaking or who have difficulty with English require a translator or interpreter. A child is not an appropriate family member to use as a translator, and it would be inappropriate to carry out treatment without any explanation in the client's language. Written instructions are inappropriate and ineffective if the client does not speak English.

Answer to Question 2

Ans: B
Informing the client of the risks and benefits of a procedure is best described as obtaining informed consent. Informed consent involves the client's right of self-decision. Client privacy is defined as the right to be left alone and free from intrusion or control by the health care providers. Self-determination allows the client to indicate what treatments he would accept or refuse. Acting in a beneficent manner encompasses doing good acts by the nurse.

[WWatsford]

Excellent

[cassie_ragen]

TYSM