A nurse is assessing a client.
Which of the following factors should the nurse consider?
The client speaks another language.
The client has decreased vision but is wearing glasses.
The client has hearing loss, but hearing aids are functioning well.
The client’s culture.
The Correct Answer is D
Choice A rationale
The client speaking another language is an important factor to consider, but it is not the most comprehensive factor. Language barriers can affect communication and understanding, but they can be addressed with interpreters and translation services. Considering the client’s culture encompasses language and other cultural aspects that influence healthcare.
Choice B rationale
The client having decreased vision but wearing glasses is a specific factor related to sensory perception. While it is important to consider, it does not encompass the broader cultural context that can impact healthcare. Addressing vision issues is part of a comprehensive assessment, but culture provides a more holistic understanding.
Choice C rationale
The client having hearing loss but functioning hearing aids is another specific factor related to sensory perception. It is important to consider for effective communication, but it does not provide a comprehensive understanding of the client’s cultural background and its impact on healthcare.
Choice D rationale
The client’s culture is the most comprehensive factor to consider. Culture influences health beliefs, practices, communication styles, and decision-making. Understanding the client’s cultural background helps the nurse provide culturally competent care, build trust, and address any potential cultural barriers to healthcare.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Speaking loudly can be counterproductive as it may distort the sound and make it harder for the client to understand. Using hand gestures can be helpful, but it should be combined with clear, simple sentences.
Choice B rationale
Standing with the light behind you can create shadows on your face, making it difficult for the client to read your lips. It is better to face the client directly with good lighting on your face.
Choice C rationale
Using short, simple sentences is effective for communicating with clients who are hard of hearing. It helps ensure that the client can understand the information being conveyed.
Choice D rationale
Avoiding the use of written communication is not advisable. Written communication can be a helpful tool for clients who are hard of hearing, as it provides a visual aid to support verbal communication.
Correct Answer is C
Explanation
Choice A rationale
A newly admitted client with a seizure disorder requires close monitoring and assessment, which is beyond the scope of practice for a nursing assistant.
Choice B rationale
A post-op laparotomy client who is waiting for discharge instructions requires specific education and assessment, which is beyond the scope of practice for a nursing assistant.
Choice C rationale
A client who needs assistance with feeding is the correct answer. Assisting with feeding is within the scope of practice for a nursing assistant.
Choice D rationale
A dehydrated client with an electrolyte imbalance requires close monitoring and assessment, which is beyond the scope of practice for a nursing assistant.
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