A nurse is caring for a client who has hearing loss. While communicating with the client, which of the following actions should the nurse take?
Emphasize vowel sounds when speaking,
Lower the tone of voice at the end of each sentence
Decrease background noise when talking with the client.
Sit next to the client when speaking to them.
The Correct Answer is C
Rationale:
A. Emphasize vowel sounds when speaking: Vowel sounds are not as difficult to hear as consonants, especially for clients with sensorineural hearing loss. Overemphasizing vowel sounds can distort speech and make understanding more difficult.
B. Lower the tone of voice at the end of each sentence: Lowering the tone may cause parts of the message to be missed, especially if the client relies on lip-reading or residual hearing. A consistent tone and clear enunciation are more effective communication strategies.
C. Decrease background noise when talking with the client: Reducing background noise improves the client’s ability to focus on the speaker and hear more clearly. Background noise can interfere with hearing aids and make communication more challenging for individuals with hearing impairment.
D. Sit next to the client when speaking to them: Sitting next to the client may reduce their ability to see facial expressions or lip-read. It is more effective to sit directly in front of them and maintain eye contact to facilitate clear communication.
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Related Questions
Correct Answer is B
Explanation
Rationale:
A. Report the incident to the nurse manager: While reporting the error is necessary for institutional accountability and improvement, it should not take priority over assessing the client's immediate physiological response to the error.
B. Measure the client's vital signs: The nurse's first priority after a medication error is to assess the client for any adverse effects. Vital signs provide essential information about the client's condition and guide further actions to ensure safety.
C. Fill out an incident report: An incident report is a key part of documenting medication errors but is done after the client's condition has been assessed and stabilized. It is for internal use and not part of the medical record.
D. Notify the provider: The provider must be informed promptly, especially if corrective treatment is needed. However, this step comes after assessing the client's status to provide relevant clinical information during the report.
Correct Answer is A
Explanation
Rationale:
A. Arrange for an ethics committee meeting to address the family's concerns: An ethics committee helps resolve conflicts between families and healthcare teams while respecting patient autonomy and legal directives. This step promotes ethical decision-making and interdisciplinary collaboration.
B. Support the family's decision and initiate life-sustaining measures: Providing treatments against the client’s documented wishes violates ethical and legal standards. Advance directives must be honored, even when family members disagree.
C. Complete an incident report: An incident report is used to document errors or adverse events, not ethical conflicts. This situation requires ethical consultation and communication, not a formal incident report.
D. Encourage the family to contact an attorney: While families may seek legal counsel, it is not the nurse’s role to suggest legal action. This may escalate the conflict unnecessarily and delay proper ethical resolution.
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