The nurse prepares an older woman, who is Polish, for discharge through an interpreter and notes that she becomes tense during the instructions about elimination. Which intervention should the nurse implement?
a. Move onto the discussion about medica-tion.
b. Ask the older woman how she feels about this topic.
c. Instruct the interpreter to repeat the in-structions.
d. Have the older woman repeat the instruc-tions for clarity.
B
When working with an interpreter, the nurse closely watches the older adult for nonverbal com-munication and emotion regarding a specific topic and therefore validates the assessment about the older adult's tension before proceeding. Because the nurse notices her tension, the nurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds and the older adult is uncomfortable discussing elimination, then important instructions can be missed, leading to adverse effects for the older adult. Repeating the instructions can aggravate the older adult's discomfort. Instructing the older adult to repeat the nurse's instruction ignores the her needs.
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