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Question

Difficulty: MediumClient Rights and Advocacy

A practical nurse (PN) is caring for a client who speaks limited English and is scheduled for an invasive diagnostic procedure. The healthcare provider arrives to explain the procedure and asks the PN to assist with obtaining informed consent. The client's adult child is at the bedside and offers to translate the medical information. Which action by the PN best demonstrates client advocacy and protects the client's rights?

  1. Intervene and request a facility-approved medical interpreter to translate the provider's explanation.Answer
  2. B
    Allow the adult child to translate the medical information to help the client feel more comfortable.
  3. C
    Accept the responsibility to explain the procedural risks and benefits using a facility translation application.
  4. D
    Step into the hallway with the provider and the adult child to discuss the client's procedure privately.

Answer

Intervene and request a facility-approved medical interpreter to translate the provider's explanation.
The correct action prioritizes the client's right to receive accurate, unbiased medical information in their preferred language. Utilizing a facility-approved medical interpreter is the standard of care for ensuring that a client fully comprehends the risks, benefits, and alternatives of a procedure before giving informed consent.

Step-by-Step Solution

1
Identify the communication barrier and the legal requirement for informed consent.
The client speaks limited English and requires a professional translation to fully understand the risks and benefits of the invasive procedure.
Informed consent is only valid if the client completely understands the information provided.
2
Evaluate the adult child's offer to translate the medical information.
Determine that family members should not serve as medical interpreters.
Family members may lack accurate medical vocabulary, introduce bias, or compromise the client's privacy.
3
Determine the appropriate advocacy action within the practical nurse's scope of practice.
The nurse must stop the process and secure a facility-approved medical interpreter.
This action protects the client's right to accurate information and ensures the legal standard for informed consent is met.

Key Concept

Client advocacy and the use of professional interpreters for informed consent
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Topics

Client Rights and Advocacy

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