During a prenatal intake interview, the nurse is in the process ...

[eruditmonkey@yahoo.com]

During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-year-old Hispanic patient with limited English proficiency. It is important for the nurse to:
 
  a. Use maternity jargon in order for the patient to become familiar with these terms.
  b. Speak quickly and efficiently to expedite the visit.
  c. Provide the patient with handouts.
  d. Assess whether the patient understands the discussion.

Question 2

When managing health care for pregnant women at a prenatal clinic, the nurse should recognize that the most significant barrier to access to care is the pregnant woman's:
 
  a. Age. c. Educational level.
  b. Minority status. d. Inability to pay.

[ju]

Answer to Question 1

ANS: D
Nurses contribute to health literacy by using simple, common words; avoiding jargon; and evaluating whether the patient understands the discussion. Speaking slowly and clearly and focusing on what is important increase understanding. Most patient education materials are written at too high a level for the average adult and may not be useful for a client with limited English proficiency.

Answer to Question 2

ANS: D
The most significant barrier to health care access is the inability to pay for services; this is compounded by the fact that many physicians refuse to care for women who cannot pay. Although adolescent pregnant clients statistically receive less prenatal care, age is not the most significant barrier. Significant disparities in morbidity and mortality rates exist for minority women; however, minority status is not the most significant barrier to access of care. Disparities in educational level are associated with morbidity and mortality rates; however, educational level is not the most significant barrier to access of care.

[eruditmonkey@yahoo.com]

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