In order to show appropriate sensitivity to the client, the nurse ...

[cagreen833]

In order to show appropriate sensitivity to the client, the nurse will:
 
  1. Explain the procedure, then wait for permission to continue.
  2. Explain to the client what will occur during the assessment.
  3. Ask the client to stay quiet since the nurse will be listening to the heart.
  4. Take the baseline vital signs, then determine if cardiac auscultation is necessary.

Question 2

A non-English speaking client is needs to have an emergency surgical procedure. The hospital has an interpreter available. When the interpreter arrives to explain the procedure and help with the consent form, the nurse provides the best support when:
 
  1. Asking the interpreter to use words the client is familiar with for the best understanding.
  2. Requesting that the interpreter translate as closely as possible, the same words used by the professional staff.
  3. Suggesting that the questions be directed to the interpreter, so nothing is omitted.
  4. Addressing the questions to the client's family.

[dellikani2015]

Answer to Question 1

Correct Answer: 1
Rationale 1: Cardiac assessment requires that the nurse move into the client's intimate space. Before beginning this, the nurse should explain the procedure and then await permission to continue.
Rationale 2: Explaining the assessment only while performing the procedure and not before is likely to cause the anxiety and so negatively affect the assessment values.
Rationale 3: This option is not addressing the sensitivity issues appropriate for this scenario.
Rationale 4: This option is not addressing the sensitivity issues appropriate for this scenario.

Answer to Question 2

Correct Answer: 2
Rationale 1: The objective of the professional interpreter is for the complete transfer of the thought behind the utterance in one language into an utterance in a second language (California Healthcare Interpreters Association, 2002).
Rationale 2: An interpreter is an individual who mediates spoken or signed communication between people using different languages without adding, omitting, or distorting meaning or editorializing. The objective of the professional interpreter is for the complete transfer of the thought behind the utterance in one language into an utterance in a second language (California Healthcare Interpreters Association, 2002).
Rationale 3: The questions should be addressed to the client, not the interpreter.
Rationale 4: The questions should be addressed to the client, not the family unless the client is incapable of answering.

[cagreen833]

Excellent

[Liddy]

TYSM