The nurse is working with a child newly enrolled into an English-as-a-second-language class. The nurse wants to teach the child about the importance of handwashing before meals and of not eating food dropped on the exam room floor
The best way to assimilate the nurse's cultural values about hygienic nutrition is to: 1. Have the nurse model proper handwashing before examining the child and throw out the dropped cookie.
2. Provide written materials in English about hygiene and diet for the client to take home.
3. Have the child repeat his interpretation of the information that was taught.
4. Schedule a medical interpreter to accompany the client to his next visit.
3
Rationale:
1. Assimilation is described as adopting and incorporating traits of the new culture within one's practices. Information must be understood before it is assimilated. The purpose of modeled behavior might be misunderstood if it is not accompanied by an explanation.
2. Written materials in English hold minimal value for clients with limited understanding.
3. When an interpreter is not available, asking the client to repeat her understanding of what was taught reveals how concepts were understood.
4. In working with families with limited English proficiency, it is optimal to have a medical interpreter present for the entire visit. When teaching has been done, the nurse has a responsibility to assess client understanding; thus, an interpreter at the next visit will not help the nurse or the client now.
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