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Author Question: Place these methods of communicating with a non-English speaking patient in order of their ... (Read 23 times)

mp14

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Place these methods of communicating with a non-English speaking patient in order of their desirability and usefulness.
 
  1. Adult family member interprets
  2. Health care agency interpreter is present
  3. The nurse uses drawings and body language to communicate
  4. Child relative interprets
  5. No interpretation is attempted

Question 2

Which patient outcome statements are correctly formatted? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. The patient will understand the effects of the medication administered prior to discharge.
  2. The nurse will administer all medications with ten minutes of their scheduled time.
  3. The patient will identify two adverse effects of enoxaprarin (Lovenox) prior to self-administering the drug.
  4. The patient will verbalize the storage requirements for NPH insulin prior to discharge.
  5. The physician will discuss the desired effects of discharge medications with the patient the evening before discharge.



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tashiedavis420

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Answer to Question 1

2,1,4,3,5

Global Rationale: In the ideal situation the nurse will contact an interpreter employed or provided by the health care agency. The next best solution is for an adult family member to interpret with the third best being a child in the family who has been assessed to be able to handle the translation. In the absence of these options, the fourth best plan is for the nurse to use drawings, body language, pictures, and nonverbal clues to communicate. Not using any kind of interpretation is not desirable and leaves the nurse in the situation of doing something to a patient with no explanation.

Answer to Question 2

3,4
Rationale 1: Understand is not a measureable verb.
Rationale 2: Patient outcome statements are focused on what the patient will do, not on what the nurse will do.
Rationale 3: Identify is a measurable verb, there is a specific measure to be evaluated and a time line is present.
Rationale 4: Verbalize is a measurable verb, there is a specific measure to be evaluated, and a time line is present.
Rationale 5: Patient outcome statements are focused on what the patient will do, not on what the physician will do.
Global Rationale: In order to be complete, the patient outcome measure must be patient (not nurse or physician) focused, must contain a measurable verb, must have the specific circumstances to be evaluated, and must have a time line.





 

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