During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-year-old Hispanic patient with limited English proficiency. It is important for the nurse to:
a. Use maternity jargon in order for the patient to become familiar with these terms.
b. Speak quickly and efficiently to expedite the visit.
c. Provide the patient with handouts.
d. Assess whether the patient understands the discussion.
ANS: D
Nurses contribute to health literacy by using simple, common words; avoiding jargon; and evaluating whether the patient understands the discussion. Speaking slowly and clearly and focusing on what is important increase understanding. Most patient education materials are written at too high a level for the average adult and may not be useful for a client with limited English proficiency.
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When discharging a schizophrenic patient who is taking haloperidol (Haldol), it is important for the nurse to advise the patient to:
A. Keep track of how much salt and water he or she consumes. B. Avoid exercise. C. Report any symptoms of tremors right away. D. Stop taking the medication if dry mouth develops and call the doctor immediately.
The nurse clarifies that currently the health care system is concerned with:
1. treating illness. 2. preventing illness. 3. promoting optimal function in the chronically ill. 4. caring for patients with acute and chronic illness.
A group of nurses is presenting the importance of high-quality care during a systemwide meeting of medical-surgical nurses. They point out a finding of the Quality Chasm that:
a. being insured has little effect on a person's longevity and the quality of care received. b. lobbyists for the drug companies are able to gain permission for the use of new drugs within 1 year of their discovery. c. although a greater number of lawsuits stem from medication errors, more people actually die from human immunodeficiency virus (HIV) and acquired immunodeficiency disease syndrome (AIDS). d. medication-related errors place a tremendous financial burden on the U.S. health care system.
Among the consequences of early pregnancy for the teenage mom are the following. Select all that apply
A. Admiration, but also jealousy, among friends who do not have an infant B. Greater risk of poverty for the mom and her infant C. Increased risk of lower education and hence fewer employment choices D. Loss of friends and peers, who get tired of babysitting E. Marriage to a man whom the girl does not love and may grow to hate F. Upset family dynamics as the infant's grandparents may have to assist with child care