A nurse is assisting with evaluating teaching with a client who reports insomnia. Which of the following client statements indicates an understanding of the teaching?

Choice A reason : Allow extra time to communicate with the client.Allowing extra time to communicate is essential when caring for clients with impaired speech. This approach respects the client's pace and supports their efforts to express themselves, which can be a time-consuming process. It also helps to reduce frustration and anxiety that the client may feel if rushed⁵.

Choice B reason : Ask open-ended questions.Asking open-ended questions to a client with impaired speech can be challenging for them to answer and may lead to frustration. Instead, it's recommended to ask yes/no questions or provide choices to facilitate easier communication⁵.

Choice C reason : Finish sentences for the client.Finishing sentences for a client with impaired speech is generally discouraged as it can lead to miscommunication and may make the client feel disempowered. It's important to allow the client to express themselves in their own words and time⁵.

Choice D reason : Avoid using visual aids for communication.Using visual aids can be very helpful for clients with impaired speech. Visual aids such as pictures, gestures, or writing can support understanding and expression, making communication more effective⁵.

Choice A reason : Using high-pitched tones is not recommended when speaking to a client with hearing loss. High-pitched sounds can be harder to hear for many people with hearing loss, as these sounds are often the first to be affected by auditory impairment. It's better to use a lower, natural tone and speak clearly.

Choice B reason : Speaking to the client using a loud voice is not advisable. While it might seem helpful, shouting can actually distort speech sounds and make it more difficult for the client to understand. Instead, the nurse should speak in a normal, clear voice and ensure the client's hearing aids are functioning if they use them.

Choice C reason : Talking quickly can make it difficult for a client with hearing loss to understand what is being said. It is important to speak at a moderate pace, enunciating clearly and allowing the client time to process the information. Rapid speech can blend words together, making it challenging for the client to follow the conversation.

Choice D reason : Making eye contact with the client when speaking is an effective communication strategy. It helps to engage the client and allows them to use visual cues such as lip-reading and facial expressions to better understand the conversation. Additionally, it ensures that the nurse has the client's attention before speaking.