A nurse is working with a patient who has limited English proficiency. What action by the nurse is best?
a. Use a qualified interpreter.
b. Ask family members to translate.
c. Use drawings and pictures.
d. Speak in simple sentences.
ANS: A
National Culturally and Linguistically Appropriate Standards (CLAS) from the U.S. Department of Health and Human Services identify methods for providing culturally competent care and guidelines for their implementation. This includes using qualified interpreters when working with non- or limited-English speaking persons. Using a family member to interpret can upset the balance of power within the family, cause embarrassment, and lead to inaccuracies. Using drawings and pictures or speaking in simple sentences is not as effective as using an interpreter.
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