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 everything on a small whiteboard at speed
b.Use family members to sign
c.Provide a qualified sign-language interpreter (in person or via video) for substantive clinical communication
d.Speak slowly and loudly so the resident can lip-read
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 §35.160Practice all 200 questions free — no signup required.
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