A nurse has been assigned a new client who cannot speak English. How should the nurse facilitate communication with this client?
1. Have a member of the housekeeping staff who speaks the same language translate.
2. Use the translation services supplied by the hospital.
3. Make sure a family member who does speak English is available.
4. Conduct the interview using hand gestures.
Correct Answer: 2
Rationale 1: Nurses must be cautious when asking family members, client visitors, or agency nonprofessional staff to assist with translation. Issues of confidentiality or gender mismatch can interfere with effective communication.
Rationale 2: Live translation is preferred because the client can then ask questions for clarification. Many large facilities are establishing their own translator services for the languages commonly spoken in their geographical regions.
Rationale 3: Nurses must be cautious when asking family members, client visitors, or agency nonprofessional staff to assist with translation. Issues of confidentiality or gender mismatch can interfere with effective communication.
Rationale 4: Using hand gestures is not an appropriate way to communicate with a client when other options are available.
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