The nurse recognizes the following as an appropriate strategy for communicating with clients who are not fluent in English?
1. Speaking in a louder tone of voice
2. Incorporating hand gestures and pictures
3. Responding to the client by his or her first name
4. Interacting with an interpreter for all communication
ANS: 2
An appropriate strategy for communicating with clients who are not fluent in English is to incor-porate hand gestures and pictures. Speaking in a louder tone of voice will not help the client un-derstand the English language. Responding to the client by his or her first name may demonstrate a lack of respect. The nurse should introduce him or herself and then request the client to intro-duce himself or herself. An interpreter is not necessary for all communication. However, an inter-preter must be used for communicating to the client information about his or her medical condi-tion. It is not acceptable for family members to translate health care information, but they can assist with ongoing interaction during the client's care.
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