What is the recommended action when interacting with a client who does not speak English?

• A. Arrange for a qualified interpreter
• B. Proceed without translation
• C. Rely on a bilingual family member to translate informally
• D. Avoid translation services

Answer: (D)

Use a qualified interpreter whenever a client does not speak English. A professional interpreter ensures accurate translation of medical information, consent, and instructions while protecting privacy and confidentiality. This supports patient safety by reducing the risk of miscommunication that could lead to incorrect treatments or missed instructions. Relying on a bilingual family member is risky because non-professional interpreters may miss or alter medical details, lack appropriate vocabulary, and may breach confidentiality or introduce bias. Proceeding without translation leaves the patient unable to understand care, which is unsafe and unethical. If a qualified interpreter isn’t immediately available, use remote interpretation services and verify understanding with the patient, using teach-back and providing translated materials when possible.