A charge nurse is discussing communication techniques to use with a client who has hearing loss with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates the teaching was effective?
“I will overarticulate words when speaking."
“I will repeat words not heard by the client
“I will speak in a loud voice when addressing the client."
“I will face the client when speaking”
The Correct Answer is D
A. “I will overarticulate words when speaking.": Overarticulating words can distort speech and make it more difficult for a client with hearing loss to understand. Clear, normal articulation combined with visual cues is more effective for communication.
B. “I will repeat words not heard by the client": Repeating words is useful, but it is a secondary strategy. Effective communication begins with proper positioning and visual cues, which enhance understanding before repetition is needed.
C. “I will speak in a loud voice when addressing the client.": Speaking louder does not necessarily improve comprehension and can distort speech. Many clients with hearing loss benefit more from clear, normal-volume speech and lip-reading rather than increased volume.
D. “I will face the client when speaking": Facing the client allows them to use visual cues, such as lip reading and facial expressions, which significantly improves understanding. This technique is the primary and most effective communication strategy for clients with hearing loss.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Teach the client to use compression stockings: Compression stockings are primarily used to prevent venous thromboembolism and edema, not to relieve osteoarthritis pain. They do not address joint stiffness or muscle discomfort associated with osteoarthritis.
B. Place a moist heating pad over the affected area: Heat therapy helps relax muscles, increase blood flow, and reduce joint stiffness, providing effective non-pharmacological pain relief for osteoarthritis. Moist heat is often preferred because it penetrates deeper into the tissues compared to dry heat.
C. Avoid platelet-rich plasma therapy: Platelet-rich plasma therapy is an invasive treatment option and is not considered a routine non-pharmacological intervention for osteoarthritis pain. Avoidance of this therapy is not a direct pain-relief strategy.
D. Encourage the client to use crutches to ambulate: Crutches are generally not indicated for osteoarthritis pain unless severe weight-bearing restrictions are needed. They do not actively relieve joint pain and may increase fatigue or strain in other areas.
Correct Answer is B
Explanation
A. High Fowler's: High Fowler’s position can assist with respiratory effort and comfort, but it does not specifically optimize cardiac output in a pregnant client. Upright positioning alone may not relieve pressure from the gravid uterus on major vessels.
B. Left lateral: Placing the client in the left lateral position relieves pressure of the uterus on the inferior vena cava and aorta, enhancing venous return to the heart and improving cardiac output. This position is especially important in clients with cardiac disease to reduce the risk of supine hypotensive syndrome and optimize maternal and fetal circulation.
C. Standing: Standing does not provide support for venous return and can increase the workload on the heart, potentially exacerbating cardiac compromise. It is not recommended for prolonged periods in clients with cardiac disease during pregnancy.
D. Supine: Supine positioning can compress the inferior vena cava and aorta, reducing venous return and cardiac output. This can lead to hypotension and decreased perfusion to both the mother and fetus, making it unsafe for pregnant clients with cardiac disease.
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