A nurse is admitting a client who is from Japan. What is the first step the nurse should take?
1. Ask all family members to stay with the client during the admission assessment.
2. Call for a Japanese interpreter.
3. Talk with the client to determine the client's level of fluency.
4. Follow the admission assessment paperwork carefully.
3
Rationale: The priority is for the nurse to determine the client's level of fluency in English and assess the degree to which another language is used as the primary language. If the assessment indicates the need for an interpreter, then the nurse should refer the client for services. Carefully following the assessment paperwork will not be helpful if the nurse and the client do not understand each other. It is unprofessional and inappropriate for family members to serve as interpreters.
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A. "Chances are you did everything right; we may never know why this happened." B. "Usually these types of issues result from toxic environmental exposures." C. "You are lucky you did not have a miscarriage and instead have a wonderful baby." D. "You can't worry about that now; you have a baby who needs you."
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1. Forward; backward 2. Forward; forward 3. Backward; forward 4. Backward; backward
A nurse was assigned to care for a client who was speaking with his young daughter in an Asian language. Because the nurse spoke only English, which of the following actions should be taken by the nurse?
a. Ask the young daughter whether she knew English and could translate. b. Ask the young daughter whether the client's wife was available to translate. c. Call the nursing office to see whether any nurse in the hospital spoke the client's language. d. Check the hospital resource manual for the telephone number of a translator who spoke an Asian language.
A patient whose blood glucose level ranges between 150 to 200 mg/dL has an episode of hypoglycemia. Which patient activity most likely caused the hypoglycemia?
a. Took a nap b. Took a bicycle ride c. Went to a birthday party d. Received news of a pay raise