A client is admitted to the hospital. On admission, it is noted ...

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A client is admitted to the hospital. On admission, it is noted that the client does not speak English. It will take 20 minutes for the hospital interpreter to arrive.
 
  The nurse decides to wait for the interpreter rather than relying on the client's husband. Appropriate rationales for this decision include that the interpreter is: (Select all that apply.)
  A) More likely to be fluent in both languages
  B) More likely to be familiar with the client's symptoms
  C) Trained in ethics and will be better at explaining cultural differences
  D) More likely to understand the client's needs
  E) More likely familiar with technical healthcare terms

Question 2

During an ice storm, people in one neighborhood banded together and shared the home of a neighbor who still had power and heat.
 
  Other neighbors provided food, water, and bedding. In another neighborhood the neighbors did not know one another and weathered the storm alone. Both neighborhoods are part of the same community. What characteristic did the people in the first neighborhood share that made them a subculture that those in the second neighborhood lacked?
  A) Belief in the value of cooperation
  B) Religion
  C) Socioeconomic status
  D) Geography

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Answer to Question 1

Ans: A, C, E
Feedback:
Interpretation should never be conducted by family or friends of a client, except in emergencies. Use of family or friends as interpreters subverts privacy and confidentiality. Furthermore, professional interpreters are not only fluent in both languages and technical healthcare terms but also trained in issues of ethics and cultural brokerage. Cultural brokerage means mediating an interaction between people of different cultures. A broker may point out and/or explain cultural differences to the participants, in order for the parties to understand each other better. An interpreter is not more likely to be familiar with the client's symptoms or needs.

Answer to Question 2

Ans: A
Feedback:
A subculture may be large or small, clustered together or scattered, but its members share some cultural facets such as experience, belief, language (or lingo), practices, and values. The only common characteristic that the neighbors in the first neighborhood had with each other that the neighbors in the second neighborhood lacked was a belief in the value of cooperating with one another during the storm. There is no indication that they were of the same religion or socioeconomic status. People in both neighborhoods have geography as a common characteristic.

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TYSM

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Gracias!