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.
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.
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