Question

A client who speaks English as a second language tells the home health nurse "I do not want to go to the big Clinic. They won't be able to understand me." Which of the following actions by the nurse is appropriate to ensure a smooth transition for the client?

A) Schedule the clinic appointment without informing the client.
B) Encourage the client to go to the clinic and try their best to communicate.
C) Provide a translator for the client during the clinic visit.
D) Speak with a nurse at the clinic ahead of time regarding the client's concerns.

Answer 1

Providing a translator and speaking with clinic staff about the client's language concerns are appropriate actions to ensure clear communication and a smooth transition for the client to the clinic.

Step-by-step explanation:

When a client who speaks English as a second language expresses concerns about not being understood at a big clinic, the most appropriate action for a home health nurse would be option C) Provide a translator for the client during the clinic visit. This ensures clear communication and a smooth transition, acknowledging the client's concerns about language barriers. Option D) Speak with a nurse at the clinic ahead of time regarding the client's concerns is also a respectful and proactive approach, as it helps to prepare the clinic staff for the client's needs and could facilitate the arranging of translation services.

Scheduling an appointment without the client's knowledge (option A) would be inappropriate and could breach trust, while merely encouraging the client to attempt communication without any support (option B) does not actively address the client's expressed need for assistance. The use of language and cultural competence are crucial in healthcare settings, where clear communication can significantly affect outcomes and the quality of care. It is also important to recognize that people may change their use of language according to context, and ensuring that a patient is aware, oriented, and able to interact effectively with health care providers is essential for accurate diagnosis and treatment.