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 ["A","B","D"]
Explanation
Rationale:
A. Cultural imposition occurs when a nurse enforces their own cultural norms and practices on clients, such as not allowing them to choose whether to bathe daily.
B. Insisting that a client see a priest based on personal beliefs imposes religious practices on the client, not considering their individual preferences or needs.
C. Treating all clients the same without considering cultural differences is not cultural imposition but rather a lack of cultural competence.
D. Dismissing Jewish dietary restrictions as merely a preference reflects a lack of respect for the client's cultural practices, which is an example of cultural imposition.
E. Directing questions to the client's daughter instead of the client shows a lack of respect for the client's autonomy but does not exemplify cultural imposition.
Correct Answer is ["C","D","E"]
Explanation
Rationale:
A. The child attending a childcare program does not necessarily indicate risk for abuse. Childcare attendance alone does not provide evidence of abuse risk.
B. The partner living with his parents may affect the dynamics of the household but does not directly indicate risk for the child unless further context suggests otherwise.
C. The child reporting seeing the mother being hit with a baseball bat is a significant indicator of potential abuse and trauma, which could put the child at risk.
D. Clinging to the mother's side may indicate anxiety or fear, which could be related to an abusive environment or trauma.
E. Unemployment and alcohol abuse by the partner are risk factors for intimate partner violence and can also affect the safety and well-being of the child.