A patient and family have the nursing diagnosis of impaired verbal communication secondary to a language barrier. What action by the patient/family would best indicate that short-term goals for this diagnosis have been met?
A.
Able to communicate long-term desires for health of the patient
B.
Demonstrates comprehension by head nodding and saying "yes"
C.
States understanding of condition and treatment via an interpreter
D.
Understands how nonverbal communication varies between cultures
ANS: C
For a language barrier, using a professional interpreter is not only the best way to manage communication, it is also legally required. The best short-term goal for the patient and family is to obtain understanding of the patient's illness and treatment and state, through the interpreter, that this is the case. Communicating long-term desires is a better long-term outcome for this diagnosis. Nodding the head and saying "yes" do not always indicate agreement, understanding, or approval. In some cultures this behavior signifies respect. Understanding the differences in nonverbal communication between cultures is not an appropriate short-term goal.
You might also like to view...
A client complaining of mouth soreness had gastric bypass surgery 1 year ago. During the assessment, the nurse notes the client's tongue is beefy, red, and smooth and the client's skin appears yellowish
Which additional information is most likely needed before diagnosing this client? A) Vitamin B6 levels B) Vitamin B12 levels C) Potassium levels D) Iron levels
A nurse cares for a research scientist exposed to smallpox. Which personal protective equipment (PPE) will the nurse need? You may select more than one answer
a. Mask b. Gown c. Gloves d. Face shield e. No PPE is needed until scabs form.
The nurse is reading an ECG rhythm strip and notes that there are nine QRS complexes in a 6-second strip. The heart rate is:
1. 36. 2. 54. 3. 81. 4. 90.
Darrin and Kay's marriage of 7 years is threatened because Darrin has recently found out that Kay has been unfaithful while Darrin is at work
Darrin feels betrayed and wants to confide in his parents about what he is going through. He wants to ask for support but feels both embarrassed and emasculated that he somehow was not a good enough husband to prevent her infidelity. The nurse identifies a need to assist Darrin to gain enough self-esteem to approach his parents. Darrin needs help with this process because of which of the following? A) He is struggling with feeling that he is emotionally dependent on his parents. B) He is going to be judged negatively by his parents. C) He is giving up on his marriage without sufficient effort to resolve the crisis. D) He may discover that he is ultimately responsible for his wife's unhappiness.