The patient with limited English language skills has a black eye, and bruises across her face and arms
The patient's husband has been acting as an interpreter for her, and answers all of the questions the nurse asks, often without talking to his wife first. The nurse suspects the patient has been a victim of domestic abuse. What should the nurse do next? 1. Ask the husband whether he has beaten his wife.
2. Ask the husband to have a female friend come in with his wife.
3. Provide written materials in English for the patient to read at home.
4. Ask the husband to step out of the room, and obtain a professional interpreter.
4
Rationale 1: Asking the abuser whether he has abused his spouse is useless, as most abusers see their behavior as appropriate.
Rationale 2: Asking the husband to have a female friend come with his wife is not the best action for the nurse to take next.
Rationale 3: Written proficiency develops after verbal fluency; therefore, written materials in English are inappropriate for this patient.
Rationale 4: A professional medical interpreter, preferably of the same gender as the patient, will provide the most accurate translation of the nurse's words as well as the patient's.
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