Nokea
The nurse cares for multiple ethnic populations. Which of the following examples best demonstrates a facility adhering to The Joint Commission requirements that healthcare workers facilitate communication with all clients?
- A. The facility requires a family member of a client who does not speak the dominant language be present to discuss healthcare issues with a health care provider and member of social service.
- B. Language dictionaries are placed in the facility library with open access for staff.
- C. The facility requests bilingual staff and community members to voluntarily provide contact information for interpreter services.
- D. The facility subscribes to an online interpreting service.
Correct Answer: C
Rationale: It is a requirement of The Joint Commission that agencies develop a system to provide aids and services to any client with literacy needs and also to provide language interpreting and translation services. The best way to demonstrate this requirement is by reaching out to staff and community members to provide personal interpreting services. It is not appropriate to require a family member, if available, to be present. The other options may be helpful in communicating with clients, but personal services are optimal.
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Which of the following is a person's intellectual ability to remember and apply new information?
- A. Learning style
- B. Learning needs
- C. Motivation
- D. Learning capacity
Correct Answer: D
Rationale: Learning capacity is a person's intellectual ability to understand, remember, and apply new information. Learning style is the manner in which a person best comprehends new information. Learning needs are the skills and concepts that the client and family must acquire to restore, maintain, or promote health. Motivation is the desire to acquire new information.
Which of the following is a client responsibility in the nurse-client relationship?
- A. Remain nonjudgmental.
- B. Comply with the therapeutic regimen.
- C. Function as an advocate.
- D. Perform prescribed skill safely.
Correct Answer: B
Rationale: Complying with the therapeutic regimen is a client responsibility. Remaining nonjudgmental, functioning as an advocate, and performing a prescribed skill safely are nurse responsibilities.
A wound care nurse approaches a client to instruct in home care needs. In which clinical scenario would the nurse delay teaching due to learning readiness?
- A. The client says that a grandchild will be in soon.
- B. The client is eating breakfast.
- C. The client is anxious about physical therapy.
- D. The client is meeting with the priest.
Correct Answer: C
Rationale: Learning readiness pertains to the optimal time for learning. This occurs when a client is in a state of physical and psychological well-being. Being anxious about an upcoming activity distracts the client from learning. Waiting until after the activity allows the client to be more focused on the teaching. Nurses may decide to delay teaching due to visiting family, eating breakfast, and meeting with a priest, but it is not from learning readiness.
The nurse enters the client's room and assesses that the client's affect appears sad. The client is sitting near the window, staring into the distance with a tear in the eye. The nurse approaches and places a hand on the client's shoulder asking for the client's thoughts. What type of emotion is the nurse projecting?
- A. Sympathy
- B. Empathy
- C. Ambivalence
- D. Pity
Correct Answer: B
Rationale: The nurse is projecting empathy. Empathy is an intuitive awareness of what the client is experiencing. Nurses perceive the client's emotional state and provide support. Sympathy is the projection of understanding the way one may feel, many times by having gone through the experience as well. Ambivalence projects conflicting feelings and uncertainty. Pity projects a feeling of sorrow.
The nurse is instructing a client in a crowded semiprivate room. The nurse approaches and moves equipment to allow for a comfortable conversation. At which distance should the nurse stand?
- A. Within 1 feet
- B. 2 to 3 feet
- C. At least 5 feet
- D. Over 6 feet
Correct Answer: B
Rationale: Proxemics refers to the use of space when communicating. Most Americans feel comfortable when individuals are 2 to 3 feet away.