The Nurse Is Assessing a Client's Ability to Speak and Understand

Multiple Choice

The nurse is assessing a client's ability to speak and understand the English language. Which assessment findings are indicative of a language barrier? Select all that apply.

A) The client answers with a minimal response.
B) The client's family member answers the questions.
C) The client does not make eye contact when spoken to.
D) The client moves away from the nurse when approached.
E) The client nods the head in agreement with everything the nurse says.