# Situation: A 69-year-old woman with newly diagnosed hypothyroidism will go home on a daily levothyroxine tablet in 3 days. She has mild cataracts and wears reading glasses. She speaks only a regional language that the ward nurse does not speak. Her 12-year-old grandson, who lives with her, speaks both languages. Her grandson offers to translate at all the teaching sessions. The nurse instead arranges for the hospital's trained interpreter. Which reason BEST explains this choice?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=630447  
> language: ko  
> subject: Nursing Practice IV — Care of Clients with Problems in Nutrition and Gastrointestinal, Metabolism and Endocrine, Perception and Coordination

## 문제

Situation: A 69-year-old woman with newly diagnosed hypothyroidism will go home on a daily levothyroxine tablet in 3 days. She has mild cataracts and wears reading glasses. She speaks only a regional language that the ward nurse does not speak. Her 12-year-old grandson, who lives with her, speaks both languages.

Her grandson offers to translate at all the teaching sessions. The nurse instead arranges for the hospital's trained interpreter. Which reason BEST explains this choice?

## 보기

1. A trained interpreter may also teach her, which saves the nurse time
2. Relatives may not hear her health data under the Data Privacy Act of 2012
3. A child may omit or alter health details and bear her private worries **✔ 정답**
4. Adults learn poorly when a younger relative sits in on the session

**정답: 3**

## 해설

When the learner and nurse do not share a language, a trained interpreter is arranged when possible, and a child should not be used. A child may leave out or change medical content and is burdened with private health information; family can still attend and support her.

## 심화 해설

Why a trained interpreter
The client speaks only a regional language that the nurse does not speak, and her 12-year-old grandson offers to translate. When the nurse and learner do not share a language, a trained interpreter is arranged whenever possible, and a child should not be used as the interpreter. A child may leave out or change medical content and is burdened with an adult's private health information. Option 3 states both reasons.

The risks of using a child
A child may lack the medical vocabulary to translate terms such as dose, thyroid, or side effect accurately. He may soften or omit information he finds frightening or embarrassing, or add his own interpretations. He is placed in the role of carrying his grandmother's private worries and health details, which is not appropriate for his age. The client herself may hold back questions in front of her grandson. Errors in teaching about a daily medication can lead to unsafe self-care after discharge.

What a trained interpreter provides
A trained medical interpreter conveys the message accurately and completely, keeps information confidential, and does not add or remove content. The nurse speaks directly to the client, uses short sentences, and checks understanding with teach-back through the interpreter. The nurse remains responsible for the teaching; the interpreter is not a substitute teacher.

| Option | Verdict | Reason |
| --- | --- | --- |
| Interpreter may also teach, saving time | Wrong | The nurse remains responsible for teaching |
| Data Privacy Act bars relatives | Wrong | The Data Privacy Act of 2012 (RA 10173) allows sharing with her consent |
| Child may omit or alter details | Correct | Accuracy and the burden of private information |
| Adults learn poorly with a younger relative present | Wrong | Family involvement often helps an older learner |

Watch out! The Data Privacy Act option sounds authoritative, but the law does not forbid family members from attending teaching when the client consents. The problem is not the presence of family; it is using a child as the interpreter.

Involving the family
The grandson lives with her and can still attend sessions as a support person, learn the routine with her, and help at home, while the trained interpreter handles the language. Key point! Use a trained interpreter rather than a child; family can still attend and support the learner.

## 임상 시나리오

Teaching Through an InterpreterLanguage barrier at discharge
The client speaks only a regional language; her 12-year-old grandson offers to translate.

A child may omit or alter medical details and should not carry an adult's private health worries. A trained interpreter translates accurately and confidentially.

The nurse speaks directly to the client, uses teach-back through the interpreter, and welcomes the grandson as a support person.

CautionThe Data Privacy Act of 2012 does not bar family from teaching sessions when the client consents; the issue is accuracy and the child's role.

## 핵심 개념

- **Medical interpreter** — A trained person who conveys health communication accurately and confidentially between languages.
- **Teach-back** — A method in which the learner explains in her own words what she was taught, to check understanding.
- **Data Privacy Act of 2012** — Philippine law (RA 10173) that protects personal information, including health data.
- **Health literacy** — A person's ability to obtain, understand, and use health information to make decisions.

## 같은 주제 문제

- [Situation: A 52-year-old delivery driver was diagnosed with type 2 diabetes mellitus 1 wee…](https://mymerci.kr/pages/nclex_q.php?qn_id=630346)
- [Situation: A 52-year-old delivery driver was diagnosed with type 2 diabetes mellitus 1 wee…](https://mymerci.kr/pages/nclex_q.php?qn_id=630347)
- [Situation: A 52-year-old delivery driver was diagnosed with type 2 diabetes mellitus 1 wee…](https://mymerci.kr/pages/nclex_q.php?qn_id=630348)
- [Situation: A 52-year-old delivery driver was diagnosed with type 2 diabetes mellitus 1 wee…](https://mymerci.kr/pages/nclex_q.php?qn_id=630349)
- [Situation: A 52-year-old delivery driver was diagnosed with type 2 diabetes mellitus 1 wee…](https://mymerci.kr/pages/nclex_q.php?qn_id=630350)
- [Situation: A 69-year-old woman with newly diagnosed hypothyroidism will go home on a daily…](https://mymerci.kr/pages/nclex_q.php?qn_id=630446)
- [Situation: A 69-year-old woman with newly diagnosed hypothyroidism will go home on a daily…](https://mymerci.kr/pages/nclex_q.php?qn_id=630448)
- [Situation: A 69-year-old woman with newly diagnosed hypothyroidism will go home on a daily…](https://mymerci.kr/pages/nclex_q.php?qn_id=630449)

---

More free questions: [기출문제](https://mymerci.kr/)

_학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요._