The nurse observes admission communication with a client who has limited English proficiency. Which actions require follow-up? Highlight the actions that threaten accuracy, privacy, or the client’s own voice.

Nurses' Notes 1440: The nurse observes an admission interview with a client who has limited English proficiency. The chart shows that the client's preferred spoken and written language is documented in the admission record. At 1445, staff state that the client's minor child will interpret the medication history. The nurse obtains a qualified video interpreter, and the screen is positioned so the client can see both participants. The consent discussion begins, but a visiting neighbor is asked to explain the procedure and risks. During the interview, the clinician speaks only to the adult family member instead of addressing the client. The interpreter pauses after each short segment, and the client is given time to answer directly. The discharge packet is prepared, but vital medication warnings are provided only in English. The client asks for a spouse to remain present, and the requested support person stays with the client's permission. At 1500, the nurse uses teach-back through the qualified interpreter after each major teaching point. The interpreter documents completion of the encounter. The nurse stops the consent process until accurate language assistance and accessible information are available. The team confirms that family involvement will follow the client's preference rather than replace the client's decisions.