When a client and nurse do not speak the same language, accurate communication can BEST be facilitated through the use of:
a. gestures
b. a book of pictures
c. a culture broker
d. slow, enunciated speech
C
A cultural broker would be best able to facilitate accurate communication through his or her understanding of both the language and the culture of the individual. The cultural broker can move beyond simply conveying the message to the client that the nurse wishes. The cultural broker, through his or her understanding of the culture, will have insight into how best to present the information in a manner that will most likely encourage the client's full participation and cooperation.
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Which entry in the medical record will meet the requirement that the nurse must document with
problem-oriented charting? a. "A: Client muttering to self as though answering an unseen person. P: Sensory perceptual alteration related to internal auditory stimulation. I: Client received prn fluphenazine po at 9 AM and went to room to lie down. E: Client calmer by 9:30 AM. Returned to community room to watch TV.". b. "Agitated behavior. D: Client muttering to self as though answering an unseen person. A: Given Haldol 2 mg po and went to room to lie down. E: Client calmer. Returned to lounge to watch TV.". c. "S: Client states ‘I feel like I'm ready to blow up.' O: Pacing hall and mumbling to self as though answering an unseen person. A: Client is experiencing auditory hallucinations. P: Offered prn Haldol 2 mg po. I: 2 mg Haldol po administered. E: Client calmer. Returned to lounge and watched TV.". d. "Client seen pacing hall and muttering to self as though answering an unseen person. Haldol 2 mg po administered at 9 AM with calming effect in 30 minutes. Stated he was no longer ‘bothered by the voices.'"
A client angrily tells the nurse that he cannot understand why he has liver cancer when he started out with bladder cancer
The nurse would recognize that the client misunderstands how a malig-nant tumor metastasizes when he states that cancer can spread by a. attaching to white blood cells. b. direct extension into the lymphatic system. c. invasion into the blood vessels. d. new growths into internal body cavities.
The nurse provides care in a hospital in an inner-city with a large immigrant population. How can the nurse provide the most culturally competent care?
1. Approach the care of every patient in the same manner. 2. Plan to attend educational programs to understand ethnic differences in health values. 3. Discuss with the supervisor the types of patients for whom the nurse feels prepared to provide care. 4. Realize that the best care is standardized care.
For the client receiving furosemide, the nurse should monitor for:
a. muscle weakness c. leg cramps b. mental depression d. irregular pulse