An older Spanish-speaking adult client who recently moved to a new city makes an appointment for a routine annual assessment with a new primary care provider. Which action by the nurse is appropriate when conducting the health history?
A) Speaking in a loud tone when addressing the client.
B) Providing the client with educational material in English
C) Asking the client's adult son to translate during the assessment
D) Having a medical translator available during the health history
Answer: D
A client who is Spanish-speaking will require a medical translator to be available during the health history portion of the nursing assessment. While the nurse may need to increase the volume of speech due to client's age, this is not an appropriate action until it is determined that the client is hard of hearing. Educational material should be provided to the client in the native language. Asking a family member to translate during an assessment can violate the client's privacy.
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