Communication & CultureQuestion 38 of 200

A Filipino resident says 'opo' and smiles when the CNA explains a procedure but appears confused. The CNA should:

a.Recognize that polite affirmation may not indicate understanding; verify comprehension by asking the resident to teach back or demonstrate, and arrange Tagalog interpreter support
b.Speak more loudly and repeat the explanation until the resident stops smiling
c.Document that the resident verbalized understanding and continue the procedure
d.Proceed with the procedure, since the resident answered 'opo' and did not object

Explanation

Cultural communication patterns may include polite affirmation ('opo,' 'po') that signals respect rather than comprehension. The teach-back method—asking the resident to explain or demonstrate in their own words—is the validated way to confirm understanding. Assuming understanding (c, d) risks consent failure; loud speech (b) does not address comprehension. Combining teach-back with appropriate interpretation supports informed care.

Law Reference: Therapeutic communication standards

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