The nurse is assigned to provide a bed bath to a client who ...

[tichca]

The nurse is assigned to provide a bed bath to a client who cannot speak English. Which of the following communication tools or strategies should the nurse use?
 
  a. Nonverbal communication
  b. Trained interpreter
  c. Family member as interpreter
  d. Other staff member who speaks the same language

Question 2

When assessing a 5-year-old Asian client in the emergency department, the nurse observes welts on the client's body. The nurse's first course of action should be to
 
  a. report child abuse to the authorities.
  b. consult a traditional healer.
  c. question the family about cultural practices.
  d. ignore it because it is an imbalance between yin and yang.

[SAUXC]

Answer to Question 1

ANS: B
Federal law (Title VI of the Civil Rights Act) mandates the use of a trained interpreter for any client experiencing communication difficulties in health care settings because of language. Interpreters should have a thorough knowledge of the culture, as well as the language. Interpreters should be carefully chosen, keeping in mind variations in dialects as well as differences in the sex and social status of the interpreter and the client if these factors are likely to be an issue. There are quality assurance and ethical issues associated with the use of untrained interpreters such as family, friends, or ancillary staff. They may not be familiar with medical terminology or may unintentionally misrepresent the meaning of a message. The client may or may not want a relative, friend, or nonprofessional staff to know their business or have access to subjective information.

Answer to Question 2

ANS: C
In some Asian countries, healers use a process of coining, in which a coin is heated and vigorously rubbed on the body to draw illness out of the body. The resulting welts can mistakenly be attributed to child abuse if this practice is not understood. A cultural assessment needs to be done first. The first course of action is to do a cultural assessment by questioning the family. The welts should not be ignored because they could indicate child abuse.

[tichca]

TY

[SAUXC]

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