A nurse is planning to use an interpreter during a health history ...

[geoffrey]

A nurse is planning to use an interpreter during a health history interview of a non-English speaking patient and family. Which nursing care guidelines should the nurse include when using an interpreter (Select all that apply)?
 
  a. Elicit one answer at a time.
  b. Interrupt the interpreter if the response from the family is lengthy.
  c. Comments to the interpreter about the family should be made in English.
  d. Arrange for the family to speak with the same interpreter, if possible.
  e. Introduce the interpreter to the family.

Question 2

Kyle, age 6 months, is brought to the clinic. His parent says, I think he hurts. He cries and rolls his head from side to side a lot. This most likely suggests which feature of pain?
 
  a. Type c. Duration
  b. Severity d. Location

[mtmmmmmk]

Answer to Question 1

ANS: A, D, E
When using an interpreter, the nurse should pose questions to elicit only one answer at a time, such as: Do you have pain? rather than Do you have any pain, tiredness, or loss of appetite? Refrain from interrupting family members and the interpreter while they are conversing. Introduce the interpreter to family and allow some time before the interview for them to become acquainted. Refrain from interrupting family members and the interpreter while they are conversing. Avoid commenting to the interpreter about family members because they may understand some English.

Answer to Question 2

ANS: D
The child is displaying a local sign of pain. Rolling the head from side to side and pulling at ears indicate pain in the ear. The child's behavior indicates the location of the pain. The behavior does not provide information about the type, severity, or duration.