Ethics & Law · single question

A patient from Nigeria has limited English proficiency. How should you best communicate treatment information?

  1. Use gestures and diagrams to explain without interpretation
  2. Use a bilingual family member as translator
  3. Use a professionally certified medical/dental interpreter
  4. Provide written information in English and have them review later
Show answer and explanation

Correct answer: C. Use a professionally certified medical/dental interpreter

C) Certified professional interpreter — CORRECT.
When a patient has limited English proficiency (LEP), using a QUALIFIED/CERTIFIED interpreter is the standard of care and a legal requirement (Title VI of the Civil Rights Act). Professional interpreters ensure accurate, confidential, unbiased communication. Using family members as interpreters raises serious concerns about accuracy, confidentiality, and potential coercion — particularly regarding sensitive health information and consent.
A) Gestures only: Insufficient for informed consent and complex dental explanations.
B) Family member: Not recommended — raises confidentiality, accuracy, and bias concerns. Children should never be used as interpreters.
D) Written English: Ineffective for LEP patients who may not read English.

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