NCLEX-RNManagement of CareHard
A client who speaks limited English is scheduled for a surgical procedure requiring informed consent. The client's adult son offers to translate the consent discussion. What is the nurse's best action?
- AArrange for a qualified medical interpreter to facilitate the informed consent discussion
- BHave the surgeon write out the consent information for the client to read independently
- CPostpone the surgery until the client learns enough English to understand the consent
- DAllow the son to translate since he is fluent in both languages and available immediately
Show answer & explanationAnswer & explanation
Correct answer: A. Arrange for a qualified medical interpreter to facilitate the informed consent discussion
Using a qualified medical interpreter protects the client's right to fully understand medical information and gives voluntary, informed consent free from potential family bias, omission, or discomfort discussing sensitive information through a relative.
Why the other options are wrong
- B. Written information without professional interpretation does not guarantee comprehension, especially with health literacy or reading barriers.
- C. Postponing surgery unnecessarily delays needed care and is not required when interpreter services are available.
- D. Family members may unintentionally filter, simplify, or misrepresent information and may compromise the client's privacy or autonomy.
Interpreter Use & Informed Consent
When a client has limited English proficiency, a qualified medical interpreter—not a family member—should be used to ensure accurate communication and valid informed consent.
- Family members may introduce bias or omit sensitive information
- Use of professional interpreters is a client right and legal requirement
- Nurses act as advocates to ensure true understanding before consent
Memory trick: Professional, not personal — call the interpreter, not the relative.