The nurse is conducting a teaching session with a client for whom English is a second language. The client smiles and nods in acknowledgment of the nurse's instruction. What should the nurse consider about this situation?
1. The client probably has a learning disability regardless of the language problem.
2. The client probably understands the content but doesn't have the words to express that fact.
3. The client may be trying to keep the nurse from being embarrassed.
4. The client is making fun of the nurse.
Correct Answer: 3
When the nurse is teaching a client for whom English is a second language, it is important not to assume that the client understands. The nurse should verify understanding in a different manner than verbally. This smiling and nodding may be deferential to the nurse and designed to prevent the nurse from being embarrassed. There is no indication that this client has a learning disability or that the client is making fun of the nurse.
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