Guidelines for communicating with a patient whose ability to speak and understand Eng-lish is questionable include (select all that apply):
a. Use interpreters whenever possible.
b. Allow sufficient time for patient to formulate response.
c. Recruit a family member as an interpreter whenever possible.
d. Use nonverbal communication whenever it is considered appropriate.
e. Maintain eye contract if such interaction is accepted by the patient's culture.
ANS: A, B, D, E
Interpreters are preferred to translators since they are trained to decode the message behind the patient's verbal response. The patient needs time to formulate their responses especially if they are attempting to speak in English. Nonverbal communication is a good source of infor-mation when effectively interpreted. Eye contact when accepted by the patient's culture en-courages interaction and allows for interpretation of nonverbal communication. Family mem-bers should not be used if other options are available since they are not always objective in their translations.
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