# A client who speaks limited English is scheduled for surgery and has questions before signing the consent. Which action is most appropriate?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394067&lang=en  
> language: en  
> subject: Informed Consent  
> category: MOC

## Question

A client who speaks limited English is scheduled for surgery and has questions before signing the consent. Which action is most appropriate?

## Option

1. Ask the client's child to interpret the surgical risks.
2. Have the client sign now because the procedure is scheduled.
3. Use gestures to explain the form quickly.
4. Arrange for a qualified medical interpreter and notify the provider. **✔ Correct answer**

**Correct answer: 4**

## Explanation

Informed consent requires understanding and an opportunity to ask questions. A qualified medical interpreter should be used for clients with limited English proficiency, and the provider should address procedure-specific questions. Family members, gestures, or pressure to sign are inappropriate.

## In-depth explanation

Clinical Judgment
Consent is not a signature task; it is an understanding task.

Memory Tip
Limited English plus consent equals qualified interpreter.

## Clinical scenario

Clinical Practice Guide
Patient rights and informed consent require clear communication, voluntary decision-making, and opportunity for provider discussion.

Caution
Children should not be used to interpret surgical risks or consent discussions.

## Key concepts

- **Informed Consent** — Voluntary agreement after understanding risks, benefits, and alternatives.
- **Medical Interpreter** — A qualified person who facilitates accurate communication in health care.
- **Patient Rights** — Legal and ethical protections for participation, privacy, and safe care.

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