A client reports to the primary health care facility for routine ...

[james]

A client reports to the primary health care facility for routine physical examination after cardiac rehabilitation following myocardial infarction.
 
  Keeping in mind that the client speaks English as a second language, how should the nurse conduct the interview? A) The nurse should ask the client to express himself emotionally.
  B) The nurse should avoid using complex medical terminology.
  C) The nurse should sit at a long distance from the client.
  D) The nurse should ask closed-ended questions.

Question 2

A nurse is caring for a client with a urinary tract infection. The client is anemic and has a hemoglobin count of 8 mg/dl.
 
  Taking into consideration that the client is from a Mediterranean country, what should the nurse's most appropriate action be? A) Ensure that drugs exacerbating anemia are not given.
  B) Ensure that the client takes adequate fluids.
  C) Ensure that the client takes hematinics for anemia.
  D) Ensure that the client takes care of personal hygiene.

[Swizqar]

Answer to Question 1

B
Feedback:
The nurse should avoid using medical terminology and make the examination as simple as possible. People who speak English as a second language may not understand medical terminology. They may feel embarrassed to ask the nurse to repeat the information again. It is not necessary to sit at a long distance and the questions may be either closed-ended or open-ended. The acceptability of emotion is rooted in culture, not necessarily in language.

Answer to Question 2

A
Feedback:
The nurse should ensure that the client is not prescribed drugs that are not compatible with G-6-PD deficiency. It has been observed that people from Mediterranean countries lack an enzyme that helps red blood cells to metabolize glucose. Therefore, the rate of red blood cells may increase in response to any stressful condition. Taking adequate fluids, hematinics, and taking care of personal hygiene are usual measures taken in urinary tract infection and anemia, but are not specific to people from Mediterranean countries.

[james]

TYSM

[marict]

Excellent