Communication & CultureQuestion 21 of 200

A newly admitted resident speaks only Tagalog. The CNA's best action is to:

a.Ask the resident's teenage grandchild at the bedside to interpret the admission questions, the consent forms, and the nurse's instructions for care
b.Skip the explanations and proceed with care, charting that the resident is non-English-speaking
c.Use hand gestures and speak English more loudly and slowly until the resident nods
d.Request a qualified medical interpreter through the facility's language-access service, as required for limited-English-proficient patients

Explanation

Title VI of the Civil Rights Act and HSC §1259 require hospitals and SNFs that receive federal funds to provide meaningful language access, typically through qualified interpreters (in person, phone, or video). Family members—especially minors—should not interpret clinical information; they may misinterpret or filter sensitive content. Speaking louder (c) does not aid comprehension; minor-interpreter use (a) violates federal guidance; skipping explanations (b) violates informed consent and dignity.

Law Reference: Title VI Civil Rights Act 1964; HSC §1259

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