The nurse prepares the female elder, who is Polish, for discharge ...

[JMatthes]

The nurse prepares the female elder, who is Polish, for discharge through an interpreter and notes the elder becomes tense during the instructions about elimination. Which inter-vention should the nurse implement?
 
  a. Move onto the discussion about medication.
  b. Ask the elder how she feels about this topic.
  c. Instruct the interpreter to repeat the instructions.
  d. Have the elder repeat the instructions for clarity.

Question 2

Which of the following is a true statement about osteoporosis (OA)?
 
  a. OA is indicative of an underlying health problem.
  b. The most common site for OA fractures is in long bones.
  c. African-American women have the high-est risk for OA.
  d. A high risk of death follows an OA-related fracture.

[blakeserpa]

Answer to Question 1

B

Feedback
A Incorrect. Because the nurse notices her tension, the nurse suspends the prepara-tion temporarily to validate her assessment. If the nurse proceeds and the elder is uncomfortable discussing elimination, important instructions can be missed, leading to adverse effects for the elder.
B Correct. When working with an interpreter, the nurse watches the elder closely for nonverbal communication and emotion regarding a specific topic and, therefore, validates her assessment about the elder's tension before proceeding.
C Incorrect. Repeating the instructions can aggravate the elder's discomfort.
D Incorrect. Instructing the elder to repeat the nurse's instruction ignores the elder's needs.

Answer to Question 2

D
One-third of all persons who have an OA-related fracture die within 1 year. OA can be a natu-ral-occurring consequence of aging. The vertebrae, pelvis, and wrist are the most frequent sites for OA fractures. The risk of OA is much lower for African-American women than it is for those of other races. Thin women of northern European descent are at the highest risk.

[JMatthes]

TYSM

[Kedrick2014]

Excellent