A registered nurse in the United States is caring for a patient who speaks limited English. The patient's adult daughter offers to interpret information about a new diagnosis. What should the nurse do?
Correct answer: B. Ask a qualified medical interpreter to assist the discussion
- A. Use the daughter because she knows the patient's history
- B. Ask a qualified medical interpreter to assist the discussion
- C. Give the patient written information in English only
- D. Ask another bilingual patient to interpret the discussion
Explanation
The nurse should use a qualified medical interpreter to support accurate communication and informed decision-making. Relying on family members, other patients, or written English alone can cause errors and may compromise confidentiality.
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About US Legal and Ethical Nursing Practice
US nursing law and ethics include state nurse practice acts, scope of practice, standards of care, negligence, malpractice, documentation, confidentiality under HIPAA and informed consent. Ethical reasoning applies autonomy, beneficence, nonmaleficence, justice and fidelity to conflicts such as refusal of treatment, advance directives, privacy breaches and mandatory reporting, which are not the same as legal liability.
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