A nurse is giving instructions to a family whose first language ...

[vicotolentino]

A nurse is giving instructions to a family whose first language is not English. In order for the teaching to be effective, what type of discussion should the nurse have with the family?
 
  1. Give verbal instruction in English and written instructions in the family's first language.
  2. Ask the family if they would like to have an interpreter present to assist them in understanding the instructions.
  3. Give the family instruction booklets written in their first language.
  4. Provide the instructions in English and ask the family to repeat the instructions to you.

Question 2

The nurse is working with a child with a chronic condition. The nurse observes that over time, the parents have experienced a pattern of periodic grieving alternating with denial. The nurse would recognize this pattern as:
 
  1. Pathologic grieving.
  2. Compassion fatigue.
  3. Chronic sorrow.
  4. Dysfunctional parenting.

[Amiracle]

Answer to Question 1

2
Rationale:
1. The instructions should be both given verbally and written in the family's native language.
2. Teaching for parents must be geared to their level of understanding. If English is not spoken, or is the parents' second language, then a translator might be necessary, and should be offered to the family.
3. The family needs the instructions contained in the booklets, but the nurse also is responsible for ensuring they understand and have no questions. This will require an interpreter.
4. Since English is the family's second language, this is inappropriate.

Answer to Question 2

3
Rationale 1: Pathologic grieving results when persons do not move through the stages of grief to resolution.
Rationale 2: Compassion fatigue is experienced by caregivers as their ability to feel compassion is exhausted.
Rationale 3: Parents experience chronic sorrow as they grieve when their child does not meet developmental milestones or participate in activities of normal children. The time between periods of grieving might be times of parental denial, which allows the family to function.
Rationale 4: Dysfunctional parenting involves inadequately meeting the needs of children.
Global Rationale:

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