When communicating with a client from Thailand who speaks limited English, the nurse should
a. use technical jargon and complex sentences.
b. recognize nodding as an indicator the client agrees with what the nurse is saying.
c. speak quickly and concisely, using complex words.
d. provide advice in a matter-of-fact, concise manner.
ANS: D
People tend to think and process information in their native language, translating back and forth from English. This results in delayed responses that need to be taken into account, particularly in health teaching. Sometimes the nurse is aware only that the client seems to be taking more time than usual. All written information should be provided in the person's native language whenever possible to avoid misinterpretation. It is important that the translator of information be as well-versed in medical interpretations as in relevant terms used in both languages. With clients demonstrating limited English proficiency, the nurse should speak slowly and clearly; use simple words; and avoid slang, technical jargon, and complex sentences. Asian clients prefer a polite, friendly, but formal approach in communication. They appreciate clinicians willing to provide advice in a matter-of-fact, concise manner. Confrontation is avoided; clients will nod and smile in agreement, even when they strongly disagree.
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