A client, accompanied by her son, spoke only Spanish while the nurse did not. Which of the following actions should be taken by the nurse to best meet the client's need?
a. Ask the woman if it's OK if the son translates for her
b. Call until she finds a Spanish interpreter employed by the agency
c. Let the son translate because he's obviously informed about the problem
d. Use gestures and pantomime to make oneself clear
ANS: B
Asking the son would violate confidentiality, and gender issues may also arise. The only safe approach is to obtain a Spanish interpreter who is knowledgeable about medical terminology and procedures, as well as comfortable with cultural beliefs and health prac-
tices. It is important to have an interpreter rather than trying to make gestures and pantomine so that the communication between the nurse and client is clear and accurate.
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