A 48-Year-Old Deaf Man Arrives at the Office for the First

A 48-year-old deaf man arrives at the office for the first time. The patient has recently relocated to the neighborhood and is accompanied by a buddy with whom he communicates using American Sign Language. The physician is informed by the office staff that the patient has been communicating by reading lips, making gestures, and nodding his head in agreement. The buddy states at the outset of the visit that the patient has asthma and takes an inhaler as needed. The patient writes a note to the doctor saying that he would want to test a longer-acting inhaler. Which of the following is the most suitable next step in this patient's evaluation?

A) Ask the patient's friend to continue providing interpretation
B) Continue the evaluation through written communication
C) Obtain further history by having the patient fill out a detailed form
D) Speak slowly and enunciate to allow the patient to read lips
E) Use a qualified American Sign Language interpreter

Correct Answer:

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