Mental HealthQuestion 144 of 200

A Vietnamese-speaking resident becomes anxious because the staff do not speak her language. The MOST culturally responsive CNA action is to:

a.Document 'resident does not speak English' and provide care without communication
b.Wait for family to translate, even if they are unavailable
c.Speak louder in English so she understands
d.Request a qualified interpreter (in-person, phone, or video), use translated written materials, learn basic greetings, and report her preference for inclusion in the care plan

Explanation

Title VI (42 USC §2000d) prohibits discrimination based on national origin in any program receiving federal funds, including Medicare/Medicaid facilities. Facilities must provide meaningful language access (qualified interpreters, translated materials). 42 CFR §483.10(b)(3) requires care plan information in a language the resident understands. Speaking louder (a) is ineffective and demeaning. Relying solely on family (c) breaches privacy and may be unreliable. Skipping communication (d) is neglect and violates dignity. Culturally responsive care includes greetings in the resident's language, foods, and customs.

Law Reference: 42 CFR §483.10; Title VI of the Civil Rights Act, 42 USC §2000d

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