Final Written Exam - Medical Interpreting
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Questions and Answers
- 1.
If you believe that advocacy is necessary, list the steps (in general) you would take to advocate correctly.
- 2.
A doctor asks the patient how long he’s been sick. The patient answers that it started when he argued with his neighbor and he believes his neighbor “gave him the evil eye.” The doctor looks confused and repeats the question, stating that he believes the patient misunderstood his question.
- A.
Interpret everything, add nothing.
- B.
Skip the information about the ‘evil eye’ because it is not relevant to the patient’s health care.
- C.
Tell the patient the doctor might be insulted by his primitive belief, and encourage the patient to give the doctor the date of when he became ill.
- D.
Interpret everything, then ask the patient to clarify for the doctor what the "evil eye" is.
Correct Answer
D. Interpret everything, then ask the patient to clarify for the doctor what the "evil eye" is.Explanation
The correct answer is to interpret everything and then ask the patient to clarify for the doctor what the "evil eye" is. This is the best course of action because it allows the doctor to fully understand the patient's perspective and beliefs, even if they may seem irrelevant to the doctor's medical assessment. By asking the patient to explain what the "evil eye" is, the doctor can gain insight into the patient's cultural or personal beliefs that may be influencing their perception of their illness. This can help establish a better doctor-patient relationship and ensure that the doctor has all the necessary information to provide appropriate care.Rate this question:
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- 3.
What is sight translation?
- 4.
Give two examples of documents that are INAPPROPRIATE to sight translate? Why are they inappropriate?
- 5.
If a provider asks you to sight translate a consent form, what would you tell her? Please write down your answer as if you were speaking with the provider.
- 6.
If a patient asks your advice regarding a traditional healing practice, it is appropriate for you to give your opinion.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
It is not appropriate for a healthcare professional to give their personal opinion on traditional healing practices when asked by a patient. Healthcare professionals should base their advice on evidence-based medicine and scientific research. Giving personal opinions may lead to misinformation and potentially harmful outcomes for the patient. It is important for healthcare professionals to provide accurate and reliable information to patients, guiding them towards safe and effective treatments.Rate this question:
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- 7.
Describe the multi-step process if an interpreter must provide a written translation of prescription information or discharge instructions to a patient.
- 8.
You have interpreted various times for an elderly woman who had a difficult health problem. She is extremely grateful for your help and has brought you a gift of some traditional food that she made. Which principle(s) of the National Code of Ethics will help you with your decision? What would you do and why? Explain how each principle you listed above helps guide you.
- 9.
After you have introduced yourself to the patient in the waiting room, a patient confides in you that he is using cocaine regularly. Later, during the encounter, the physician asks the patient if he is using any drugs. The patient says, “No, I have never used any drugs, except aspirin and cold remedies.” The doctor goes on to the next question. Which principle(s) of the National Code of Ethics will help you with your decision? What would you do and why? Explain how each principle you listed above helps guide you.
- 10.
You are interpreting for a doctor and a pregnant woman. The doctor tells the patient that she needs to have a glucose tolerance test done (a test that helps determine if there is risk of developing diabetes during the pregnancy). The doctor explains how the test is done and why it is important. The doctor asks the patient if she has any questions. She says she has none. The doctor leaves. The patient asks you if she should really go ahead with the test. Which principle(s) of the National Code of Ethics will help you with your decision? What would you do and why? Explain how each principle you listed above helps guide you.
- 11.
Pacemaker (definition):
Correct Answer
x - 12.
Pacemaker (translation):
Correct Answer
x - 13.
If you are interpreting at the Public Aid Office and the representative asks about the patient’s income and you know they are working but the patient lies and says they are unemployed, you should keep the information to yourself and not tell the representative the patient is lying.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
In this scenario, as an interpreter at the Public Aid Office, it is important to maintain impartiality and confidentiality. Even if you know that the patient is lying about their employment status, it is not your role to disclose this information to the representative. Your duty is to accurately interpret the conversation between the representative and the patient without adding any personal judgment or bias. By keeping the information to yourself, you maintain the integrity of the interpreting process and respect the patient's privacy.Rate this question:
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- 14.
Resident (definition):
Correct Answer
x - 15.
If a doctor asks for your phone number because his patient is going to deliver over the weekend and the agency will be closed when he tries to call for an interpreter, it is appropriate for you to give him/her your phone number due to the emergency nature of the situation.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
It is not appropriate to give the doctor your phone number in this situation. While it may be an emergency, it is not your responsibility to provide personal contact information. The doctor should find an alternative solution, such as contacting the agency beforehand or finding another interpreter who is available.Rate this question:
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- 16.
Resident (translation):
Correct Answer
x - 17.
Polyp (definition):
Correct Answer
x - 18.
Polyp (translation):
Correct Answer
x - 19.
Sterile (definition):
Correct Answer
x - 20.
Sterile (translation):
Correct Answer
x - 21.
Aneurysm (definition):
Correct Answer
x - 22.
Aneurysm (translation):
Correct Answer
x - 23.
Power of attorney (definition):
Correct Answer
x - 24.
It is appropriate for you to translate the Patient Bill of Rights for the hospital while waiting for the patient to come out of surgery.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Translating the Patient Bill of Rights for the hospital while waiting for the patient to come out of surgery is not appropriate. The Patient Bill of Rights is a document that outlines the rights and responsibilities of patients in a healthcare setting. Translating it is a task that should be done before the patient goes into surgery, to ensure that they fully understand their rights and can provide informed consent. Translating it while waiting for the patient to come out of surgery would not be timely or effective in ensuring the patient's understanding of their rights.Rate this question:
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- 25.
Power of attorney (translation):
Correct Answer
x - 26.
Cervix (definition):
Correct Answer
x - 27.
Cervix (translation):
Correct Answer
x - 28.
What is the goal of all interpreters?
- A.
To ensure patients are satisfied when they leave the hospital.
- B.
To facilitate understanding of the information discussed in the medical encounter.
- C.
To ensure that patient has understood everything discussed in the medical encounter.
- D.
To ensure a good health outcome for the patient.
Correct Answer
B. To facilitate understanding of the information discussed in the medical encounter.Explanation
The goal of all interpreters is to facilitate understanding of the information discussed in the medical encounter. Interpreters play a crucial role in bridging the language and cultural barriers between healthcare providers and patients. Their primary objective is to ensure effective communication by accurately interpreting and conveying medical information, instructions, and concerns between both parties. This helps patients fully comprehend their medical condition, treatment options, and any other information relevant to their healthcare. By facilitating understanding, interpreters contribute to better patient outcomes and overall satisfaction with the healthcare experience.Rate this question:
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- 29.
Infusion (IV) (definition):
Correct Answer
x - 30.
Infusion (IV) (translation):
Correct Answer
x - 31.
Constipation (definition):
Correct Answer
x - 32.
Constipation (translation):
Correct Answer
x - 33.
You should always interpret slang or foul language because the provider needs to know the emotional state of the patient.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Interpreting slang or foul language is important because it helps the healthcare provider understand the emotional state of the patient. Slang and foul language can often reflect the patient's frustration, anger, or discomfort, which may be crucial information for the provider to assess and address the patient's needs effectively. By interpreting such language, the provider can gain insights into the patient's emotional well-being and provide appropriate care and support.Rate this question:
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- 34.
Over-the-counter (definition):
Correct Answer
x - 35.
Over-the-counter (translation):
Correct Answer
x - 36.
C-section (definition):
Correct Answer
x - 37.
After an evaluation to determine eligibility for SSI, the social worker (who asked for the interpreter, but was not present) from the workman’s comp insurance agency asks you to tell her what happened during the evaluation. You should tell her you cannot answer her questions.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
In this scenario, it is important to prioritize client confidentiality and privacy. Since the social worker asked for an interpreter but was not present during the evaluation, it indicates that the client's information was meant to be confidential. Therefore, it is appropriate to inform the social worker that you cannot answer her questions to protect the client's privacy and maintain professional ethics.Rate this question:
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- 38.
To protect oneself from exposure to an infectious disease an interpreter should:
- A.
Always read all posted signs before entering a patient's room.
- B.
Always interpret from the doorway or from behind a curtain.
- C.
Always vigorously wash hands before entering a patient’s room.
- D.
Always request gloves and a mask before entering a patient’s room.
Correct Answer
A. Always read all posted signs before entering a patient's room.Explanation
The correct answer is "Always read all posted signs before entering a patient's room." This is because reading the posted signs can provide important information about the patient's condition, any precautions that need to be taken, and any specific instructions for interpreters. By reading the signs, the interpreter can ensure they are aware of any potential risks or necessary precautions to protect themselves from exposure to infectious diseases.Rate this question:
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- 39.
It is appropriate for you to promote yourself as a freelance interpreter while on assignment at the hospital.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Promoting oneself as a freelance interpreter while on assignment at the hospital is not appropriate. As a freelance interpreter, one should maintain professionalism and prioritize the needs of the patients and healthcare professionals. Promoting oneself could create conflicts of interest and compromise the quality of interpretation services provided. It is essential to focus on the task at hand and ensure effective communication between patients and healthcare providers without any personal agenda.Rate this question:
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- 40.
C-section (translation):
Correct Answer
x - 41.
An interpreter should interpret the spirit of the message, mimicking the patient’s gestures, and tone of voice.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Interpreters play a crucial role in facilitating effective communication between individuals who speak different languages. In the context of healthcare, it is important for interpreters to not only translate words accurately but also convey the emotions, gestures, and tone of voice of the patient. This helps to ensure that the true meaning and intent of the message are accurately conveyed. Therefore, the statement that interpreters should interpret the spirit of the message, mimicking the patient's gestures, and tone of voice is true.Rate this question:
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- 42.
If a doctor uses a word you believe the patient will not understand, it is appropriate for you to explain the term to the patient.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
It is not appropriate for a medical professional to explain a term to a patient if they believe the patient will not understand it. This is because the doctor's role is to provide accurate information and ensure proper understanding, but explaining complex medical terms to a patient who may not have the necessary knowledge or background can lead to confusion or misinformation. It is important for doctors to use clear and understandable language when communicating with patients, avoiding jargon or technical terms that may be unfamiliar to them.Rate this question:
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- 43.
If an interpreter is accidentally exposed to an infectious disease, it would be appropriate to:
- A.
Ask for a tetanus shot.
- B.
Request reimbursement for your treatment.
- C.
Ask the provider for instructions on how to appropriately deal with the exposure.
- D.
File a complaint with the hospital.
Correct Answer
C. Ask the provider for instructions on how to appropriately deal with the exposure.Explanation
If an interpreter is accidentally exposed to an infectious disease, it would be appropriate to ask the provider for instructions on how to appropriately deal with the exposure. This is because the provider would have the necessary knowledge and expertise to guide the interpreter on the appropriate steps to take in order to minimize the risk of infection and ensure proper treatment. Asking for a tetanus shot or reimbursement for treatment may not be relevant or necessary in this situation. Filing a complaint with the hospital would also not address the immediate concern of dealing with the exposure.Rate this question:
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- 44.
While helping the patient schedule his follow-up appointment, the patient states he will not follow his doctor’s advice on not smoking while wearing a nicotine patch. Which principle in the National Code of Ethics should guide the interpreter’s decision-making process?
- A.
Advocacy
- B.
Beneficence
- C.
Respect
- D.
Accuracy
Correct Answer
C. RespectExplanation
The principle of respect should guide the interpreter's decision-making process in this situation. Respect involves valuing and honoring the patient's autonomy and choices, even if they may not align with the doctor's advice. The interpreter should respect the patient's decision to continue smoking while wearing a nicotine patch, and should not impose their own judgments or try to persuade the patient otherwise.Rate this question:
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- 45.
It may be appropriate for you to discuss your interpreting assignment with someone outside of the healthcare encounter, if you do not provide the patient’s name, or other identifying information.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
It is appropriate to discuss your interpreting assignment with someone outside of the healthcare encounter if you do not provide the patient's name or other identifying information. This is because maintaining patient confidentiality is crucial in healthcare settings, and discussing the assignment with someone who is not involved in the encounter helps ensure that patient information remains confidential. By discussing the assignment without revealing any identifying details, interpreters can seek guidance or support without compromising patient privacy.Rate this question:
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- 46.
Which of the following actions would constitute Advocacy?
- A.
Informing a patient of his right to lodge a complaint.
- B.
Asking the provider if the interpreter can check the patient’s understanding because the patient looks confused.
- C.
Intervening in an interpreted session because of a perceived cultural misunderstanding.
- D.
Asking the receptionist to look again for an appointment next week, even though she says there are none, because the doctor specifically requested a 7-day follow-up.
Correct Answer
D. Asking the receptionist to look again for an appointment next week, even though she says there are none, because the doctor specifically requested a 7-day follow-up.Explanation
Advocacy involves actively supporting and promoting the rights and interests of others. In this scenario, asking the receptionist to look again for an appointment next week, despite being told there are none, shows advocacy. By advocating for the patient's rights and following the doctor's instructions for a 7-day follow-up, the individual is taking action to ensure the patient receives the necessary care and attention. This demonstrates a commitment to advocating for the patient's well-being and rights within the healthcare system.Rate this question:
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- 47.
A patient is having trouble breastfeeding and asks you if you know where she can get help. You know of an excellent organization called La Leche, which works with nursing mothers. What should the interpreter do?
- A.
Ask the patient if she would like to discuss her concerns with a nurse.
- B.
​​​​​Remind the patient that the interpreter cannot give advice and leave.
- C.
Look up the number to La Leche and offer it to the patient.
- D.
Give the patient the free hospital brochure on nursing a baby.
Correct Answer
A. Ask the patient if she would like to discuss her concerns with a nurse.Explanation
The interpreter should ask the patient if she would like to discuss her concerns with a nurse. This is the most appropriate response because it allows the patient to express her concerns and seek help from a healthcare professional who is knowledgeable about breastfeeding. The interpreter is not qualified to give advice or provide specific resources, so it is best to direct the patient to someone who can assist her effectively.Rate this question:
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- 48.
The role of the interpreter includes:
- A.
Giving advice to clients only when asked.
- B.
Providing cultural information to the doctor.
- C.
Sharing information with family members.
- D.
Simplifying terms for patients.
Correct Answer
B. Providing cultural information to the doctor.Explanation
The role of the interpreter includes providing cultural information to the doctor. This means that the interpreter is responsible for facilitating communication between the doctor and the patient by bridging any cultural gaps that may exist. By providing cultural information, the interpreter helps the doctor understand the patient's background, beliefs, and values, which can greatly influence the diagnosis and treatment process. This ensures that the doctor can provide the most appropriate and culturally sensitive care to the patient.Rate this question:
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- 49.
If during an encounter a patient asks the interpreter for advice on whether or not to sign a consent form for a life-saving intervention, which principle in the National Code of Ethics should guide the interpreter’s actions:
- A.
Impartiality
- B.
Confidentiality
- C.
Cultural Awareness
- D.
Advocacy
Correct Answer
A. ImpartialityExplanation
The principle of impartiality should guide the interpreter's actions in this situation. As an interpreter, it is important to remain neutral and unbiased, without providing personal opinions or advice. The interpreter's role is to accurately convey the patient's message to the healthcare provider and vice versa, ensuring effective communication. By maintaining impartiality, the interpreter upholds the ethical principle of respecting the autonomy and decision-making of the patient, allowing them to make an informed choice about signing the consent form.Rate this question:
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- 50.
The daughter of the patient for whom you are interpreting has stated that her mother does not need an interpreter. The interpreter should:
- A.
Interpret the request to the doctor and leave the assignment.
- B.
Interpret the request to the doctor and tell the doctor that the daughter is not qualified to interpret.
- C.
Interpret the request to the doctor and if the doctor says it is okay for the daughter to interpret, ask the doctor if the interpreter can remain in the room.
- D.
Interpret the request to the doctor and if the doctor says it is okay for the daughter to interpret, leave the room.
Correct Answer
C. Interpret the request to the doctor and if the doctor says it is okay for the daughter to interpret, ask the doctor if the interpreter can remain in the room.Explanation
The correct answer is to interpret the request to the doctor and if the doctor says it is okay for the daughter to interpret, ask the doctor if the interpreter can remain in the room. This is because even if the daughter believes she can interpret, it is important to ensure that the patient's rights are protected and that they receive accurate and complete information about their medical condition and treatment. By asking the doctor if the interpreter can remain in the room, the interpreter is advocating for the patient's best interests and ensuring effective communication.Rate this question:
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Mar 18, 2023Quiz Edited by
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Mar 23, 2020Quiz Created by
Matthew Graville
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