A nurse in the ambulatory care setting is preparing to do an ...

[big1devin]

A nurse in the ambulatory care setting is preparing to do an interview with a non-English-speaking client. The nurse secures an interpreter. In order to have the most effective interview, the nurse should do which of the following? (Select all that apply.
 
  a. Look and speak to the interpreter
  b. Use technical terminology to ensure accu-racy
  c. Allow more time for the interview
  d. Watch the client's nonverbal communica-tion
  e. Have the interpreter check whether the client understands the communication

Question 2

The nurse in a clinic setting that provides care for an ethnically diverse population of older clients shows an understanding of the LEARN Model to direct the assessment process when: (Select all that apply.)
 
  a. recognizing that the client's hands are clenched as she answers the assessment questions.
  b. asking the client to describe what he thinks will help him feel better.
  c. explaining to the client that herbal reme-dies may not be sufficient treatment for his chest congestion.
  d. acknowledging that the client has a dif-ferent view of the appropriate treatment.
  e. suggesting to the client that it would be beneficial if she would trust her health care provider to prescribe the correct treatment.

[T4T]

Answer to Question 1

ANS: C, D
For the most effective interview the nurse should look and speak directly to the client, avoid the use of jargon and technical terminology, observe the client's nonverbal communications, and clarify understanding by asking the client to state in his/her own words what he or she under-stood, facilitated by the interpreter. The interview will take longer.

Answer to Question 2

ANS: A, B, C, D
The LEARN Model implements active listening to both the client's verbal and nonverbal com-munication as a means of obtaining insight into the client's perspective of his or her medical problem. This model also encourages the nurse to recognize that the perceptions may differ and to explain the differences in perceptions to the client. The model advocates arriving at a mutually agreed upon treatment plan rather than encouraging the client to surrender personal autonomy in the decision-making.

[big1devin]

Thank you

[T4T]

No problemo