The nurse plans to use pamphlets to educate newly immigrated clients about diabetes mellitus. Before initiating this education, what priority information should the nurse obtain?
The client's previous knowledge and interest in the subject.
The client's willingness to participate and follow instructions.
The client's ability to read and understand English
The client's readiness and ability to learn this material
The Correct Answer is C
Rationale:
A. While knowing previous knowledge and interest is useful, the priority is to ensure that the client can understand the educational materials.
B. Willingness to participate is important but secondary to ensuring that the material is accessible to the client.
C. Determining the client's ability to read and understand English is crucial as it affects their ability to comprehend pamphlets. If they cannot read or understand English, alternative methods of education should be used.
D. Readiness to learn is important but presupposes that the material can be understood; therefore, assessing language comprehension is a priority.
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Correct Answer is D
Explanation
Rationale:
A. While contacting the trafficking hotline may be necessary, it is essential first to ensure the client's immediate safety and confidentiality.
B. Knowing available resources is important, but ensuring a safe, private environment for the client is the first priority.
C. Performing a sexual examination without consent violates the client’s rights and may not be appropriate or necessary at the initial contact.
D. Ensuring the conversation occurs alone and privately is crucial for the client’s comfort and safety, allowing them to speak freely about their situation.
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.