Author Question: The primary problem with using English-speaking children of immigrant families as interpreters is ... (Read 73 times)

Sportsfan2111 · **on:** Jul 23, 2018

The primary problem with using English-speaking children of immigrant families as interpreters is that:

1. The adults may resent their dependence upon the child
2. The subjects discussed may be too disturbing to the child
3. Children can be easily distracted, thus making them unreliable translators
4. There are concerns about the child's ability to convey important information

Question 2

A Hispanic client is diagnosed with inoperable brain cancer. The client's wife insists that any discussion about treatment options be postponed until all local family members are present. The nurse correctly views this as:

1. The family's attempt to facilitate a good death'' for the client
2. An invasion of the client's right of confidentiality by the family members
3. Appropriate because the cancer may have affected his decision-making abilities
4. A cultural tradition that relieves the ill family member of the burden of decision making

paavo · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 1
Assuming that children are ideal interpreters for their parents may in fact be an insult to the au-thority of the elder who has to take directions from a child. Although the other options may be true, it is not the primary reason for the concerns regarding using children as interpreters.

Answer to Question 2

ANS: 4
In some cultures, the group assumes decision making for a family member in these situations and is trusted to make the right decision for the individual. Indeed, some groups such as African Americans, Asian Americans, and Hispanics expect their family to make decisions for them, and family members prefer to protect the individual from unnecessary suffering by knowing the real-ity of imminent death. These cultures value group interdependence and view individual autono-my as an unnecessary burden for a loved one who is ill (Pacquiao, 2002, 2003a). The means by which the family provides a good death is first established through the process of group deci-sion making. It may appear that the client's confidentiality is being invaded by a member of the Western nursing profession; it is a cultural norm for members of many Hispanic families. Alt-hough cancer may affect the client's abilities to make decisions, the origin of this behavior is more likely the cultural tradition of group decision making among Hispanics.