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 B
Explanation
Rationale:
A. Avoid responding to hints that abuse has occurred is not appropriate. The nurse should address and assess any signs or suspicions of abuse openly.
B. Separate the family from the child during the interview is appropriate as it allows the nurse to obtain information from the child without potential coercion or influence from the family members.
C. Report the concern for potential abuse to the immediate supervisor is important but should be done after gathering sufficient information. The immediate action should focus on separating and interviewing the child.
D. Obtain information as covertly as possible is not ideal. It is important to obtain accurate information while ensuring the safety and comfort of the child, rather than being covert.
Correct Answer is C
Explanation
Rationale:
A. Developing an individualized care plan focusing solely on one issue may not address the family’s overall dynamics and interactions, which are critical in the Calgary Family Intervention Model.
B. Referring the family to specialized services without considering the family’s overall functioning misses the opportunity to address the interconnectedness of issues within the family unit.
C. Engaging the entire family in discussions to identify and address patterns of interaction and coping strategies aligns with the Calgary Family Intervention Model, which emphasizes understanding and improving family dynamics and relationships.
D. Providing education on specific medical conditions is important but does not address the broader family dynamics and support systems critical in the Calgary model.