When using an interpreter, what is the best practice?

• A. Speak to the interpreter and ignore patient response
• B. Use only written materials
• C. Speak to the patient, not the interpreter; address questions to them; use simple language; check understanding
• D. Ask the interpreter to translate every word exactly

Answer: (C)

Directly engage the patient through the interpreter instead of letting the interpreter become the center of the conversation. Speak to the patient, address their questions to them, use simple language, and check that they understand. This keeps the patient as the active participant, supports accurate communication, and respects their autonomy. It also allows you to notice nonverbal cues and tailor explanations as needed. Translating every word exactly or talking mainly to the interpreter can break the connection with the patient and risk miscommunication, while relying only on written materials misses the nuances of spoken language and may exclude those who benefit from verbal explanation.