The nurse is working with a child newly enrolled into an English-as-a-second-language class. The ...

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Rationale:
1. Assimilation is described as adopting and incorporating traits of the new culture within one's practices. Information must be understood before it is assimilated. The purpose of modeled behavior might be misunderstood if it is not accompanied by an explanation.
2. Written materials in English hold minimal value for clients with limited understanding.
3. When an interpreter is not available, asking the client to repeat her understanding of what was taught reveals how concepts were understood.
4. In working with families with limited English proficiency, it is optimal to have a medical interpreter present for the entire visit. When teaching has been done, the nurse has a responsibility to assess client understanding; thus, an interpreter at the next visit will not help the nurse or the client now.