A nurse is a member of a community health advisory board. The nurse fosters collaboration and cooperation among group members. What maintenance role has the nurse taken in this group?

A. Client's hearing deficit
Effective communication relies on the ability to hear and understand spoken messages. The client's hearing deficit impedes this process, making it difficult for the nurse to convey important information or assess the client’s needs.
B. Volume of the client's television
High TV volume can distract the client and make it hard for them to focus on or hear the nurse’s questions or instructions, thus impeding effective communication.
C. Numerous visitors in the client's room
The presence of visitors might affect communication, but based on the provided notes, it is not specifically identified as a current barrier.
D. Increase in pain after ambulation
Pain is a concern but does not directly interfere with the process of communication as long as it is managed appropriately.
E. Adverse effects of opioid analgesic
The client’s report of feeling “very sleepy” indicates that the opioid analgesic may be affecting their alertness and responsiveness, thus impeding effective communication.

F. Using earphones while listening to music
Earphones block out external sounds, including the nurse’s attempts to communicate, making it difficult for the client to hear or engage in a conversation.

A. The "A" in the CARE method stands for Assume, which involves clearly stating what you want the other person to do.

B. This statement expresses personal feelings but does not make a clear request or expectation.

C. This statement explains benefits rather than directly requesting a specific action.

D. This describes the problem but does not offer a solution or request specific behavior.