A young child is admitted to the hospital following a serious injury while on a field trip with his school class. When the parents arrive at the emergency room, the nurse recognizes that the parents have only limited English. The nurse will:
1. Speak slowly and clearly so the parents can understand.
2. Have a translator/interpreter present when the nurse and physician describe the child's condition to the parents.
3. Have a family member who speaks English translate for the family
4. Give the parents a pamphlet written in their primary language that describes the hospital routine.
2
Rationale 1: The parents will not understand, not because they can't hear, but because they speak little English. Speaking more clearly will not be very helpful.
Rationale 2: Even if the parents have some English, the stress of the situation may impair communication without a translator.
Rationale 3: The nurse cannot be sure that the family member is translating accurately. In addition, this could violate HIPAA regulations by sharing information with someone other than the parents without the parents' full agreement. They cannot agree if they do not understand.
Rationale 4: The pamphlet will not explain what is wrong with their child and therefore is not the best solution.
Global Rationale:
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