How should you respond to a patient who speaks a language you do not understand?

• A. Speak louder to be understood.
• B. Arrange for an interpreter or use translation resources to ensure accurate communication.
• C. Ask the patient to repeat in English.
• D. End the conversation.

Answer: (B)

When a patient speaks a language you don’t understand, the priority is clear, accurate communication so that you can take history, explain diagnoses and treatment options, and obtain informed consent. Arranging for an interpreter or using professional translation resources ensures the patient receives information correctly and can participate in decisions about their care. Speaking louder does not bridge the language gap and can distort meaning or seem disrespectful. Asking the patient to repeat in English places the burden on them and undermines understanding and autonomy. Ending the conversation denies essential care. If needed, arrange a qualified interpreter (in person, by phone, or via video) and use plain language, verify understanding, and document that an interpreter was used to support ongoing, safe care.