The nurse is assigned to provide a bed bath to a client who cannot speak English. Which of the following communication tools or strategies should the nurse use?
a. Nonverbal communication
b. Trained interpreter
c. Family member as interpreter
d. Other staff member who speaks the same language
ANS: B
Federal law (Title VI of the Civil Rights Act) mandates the use of a trained interpreter for any client experiencing communication difficulties in health care settings because of language. Interpreters should have a thorough knowledge of the culture, as well as the language. Interpreters should be carefully chosen, keeping in mind variations in dialects as well as differences in the sex and social status of the interpreter and the client if these factors are likely to be an issue. There are quality assurance and ethical issues associated with the use of untrained interpreters such as family, friends, or ancillary staff. They may not be familiar with medical terminology or may unintentionally misrepresent the meaning of a message. The client may or may not want a relative, friend, or nonprofessional staff to "know their business" or have access to subjective information.
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