Communication & CultureQuestion 40 of 200

A resident speaks limited English but the facility's video-interpreter device is down. The CNA needs to obtain consent for a procedure. The CNA should:

a.Skip consent and proceed
b.Ask another resident who speaks the language to interpret
c.Notify the nurse, who will use the facility's contracted telephonic interpreter service or arrange an in-person interpreter before consent or substantive care
d.Use Google Translate on a personal phone

Explanation

Language access is a legal duty (Title VI; HSC §1259). When primary tools fail, facilities must use backup qualified interpreters via telephone services like Language Line. Skipping consent (a) is battery; lay interpreters (b) violate privacy and accuracy; personal-device translation apps (d) are not approved, may be inaccurate, and may transmit PHI insecurely. The nurse coordinates an approved interpretation pathway.

Law Reference: ADA; AB 1195 (cultural competency)

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