Communication & CultureQuestion 25 of 200
A resident who is profoundly deaf communicates in ASL. To explain a transfer procedure, the facility should:
a.Have the CNA write each step on a small whiteboard during the transfer, since written English is equivalent to interpretation
b.Speak slowly and loudly facing the resident so that she can lip-read the steps
c.Ask a family member who knows some signs to interpret the procedure for her
d.Provide a qualified sign-language interpreter (in person or via video) for substantive clinical communication
Explanation
The ADA (28 CFR §35.160) requires effective communication, which for many Deaf individuals means a qualified ASL interpreter, not written notes (which assume English literacy) or family. Lip-reading captures only about 30% of speech and is unreliable for clinical content. The choice of auxiliary aid must give 'primary consideration' to the resident's preference. Family interpreters create privacy and accuracy risks.
Law Reference: ADA 1990; 28 CFR §35.160This topic, taught in full in the Certified Nursing Assistant (CNA) guide. CNA — Complete Study Guide (2026) — PDF + EPUB, $19.99 · 14-day refund →
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