Guidelines for communicating with a client whose ability to speak and understand English is questionable include which of the following? (Select all that apply)
Maintain eye contact with all interactions with clients.
Allow sufficient time for a client to formulate a response.
Use interpreters whenever possible.
Use nonverbal communication whenever it is considered appropriate.
Recruit a family member as an interpreter whenever possible.
Correct Answer : A,B,C,D
Rationale:
A. Maintaining eye contact is important for effective communication and showing attentiveness.
B. Allowing time for the client to respond is crucial, especially if they are processing information in a second language.
C. Using professional interpreters ensures accurate translation and avoids miscommunication.
D. Nonverbal communication can be helpful in reinforcing understanding and expressing empathy.
E. While family members might be able to provide some help, they are not always ideal as interpreters due to potential biases and confidentiality issues. Professional interpreters are preferred.
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Correct Answer is C
Explanation
Rationale:
A. Asking the client if they are comfortable calling 9-1-1 is an appropriate action. It involves assessing the client's readiness and comfort level in seeking emergency help.
B. A nurse-client dialogue about specific steps the client can take to stay safe is important for empowering the client with knowledge and strategies for protection.
C. Insisting that the client act on the plan the next time their safety is threatened may be inappropriate as it can impose undue pressure on the client, who might feel trapped or fearful. The nurse should support the client's choices and provide options rather than insist on actions.
D. A nurse-client dialogue about the potential barriers to safety is crucial for understanding and addressing obstacles that might prevent the client from seeking help or staying safe.
Correct Answer is C
Explanation
Rationale:
A. Waiting for the client to bring up domestic violence may miss the opportunity for timely intervention.
B. Documentation and referral are important, but directly addressing the issue can be more effective in identifying and assisting victims.
C. Directly asking the client about domestic violence in a private and supportive manner facilitates open communication and disclosure.
D. Providing general information may not be as effective as directly addressing the issue with the client.