A nurse is caring for a client who has impaired speech. Which of the following actions should the nurse take?

Allow extra time to communicate with the client.

Ask open-ended questions.

Finish sentences for the client.

Avoid using visual aids for communication.

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is C

Explanation

Choice A reason : Enlarged tonsils can contribute to obstructive sleep apnea by blocking the airway, but they do not cause central sleep apnea, which is related to the brain's control of breathing.

Choice B reason : Obesity is a risk factor for obstructive sleep apnea due to the physical obstruction of the airway, not central sleep apnea, which involves a failure of the brain's signaling to the muscles that control breathing.

Choice C reason : Opioid overdose can depress the central nervous system, including the brain's ability to signal for breath, leading to central sleep apnea.

Choice D reason : A deviated septum can cause difficulty breathing through the nose and contribute to obstructive sleep apnea, but it does not cause central sleep apnea.

A. "Let's see what foods you like that we can include in your new diet." B. "Your old diet probably caused your diabetes." C. "Most people get used to the new diet quickly." D. "You will feel better once you start the new diet."

Correct Answer is A

Explanation

Choice A reason : This response is patient-centered and collaborative. It acknowledges the client's concerns and preferences, which is crucial in managing diabetes effectively. By involving the client in the decision-making process, the nurse empowers the client to take an active role in their health care. This approach can lead to better adherence to dietary recommendations and improved glycemic control. It is also aligned with the principles of effective communication with patients living with diabetes, which emphasize understanding, empathy, and cultural competency.

Choice B reason : This statement is accusatory and could make the client feel guilty or blamed for their condition. It is not constructive and does not contribute to a positive therapeutic relationship. Diabetes mellitus is a complex disease with multiple risk factors, including genetics, lifestyle, and environmental factors. It is not helpful to oversimplify the cause of the disease to one factor, such as diet alone.

Choice C reason : While this statement may be true for some, it does not acknowledge the individual challenges the client may face in adjusting to a new diet. It is important to recognize that each person's experience with diabetes and dietary changes is unique. A more supportive approach would be to offer guidance and resources to help the client gradually adapt to the changes.

Choice D reason : This statement is presumptive and does not take into account the client's current feelings or potential difficulties they may encounter. While a healthier diet can lead to better health outcomes, it is essential to validate the client's feelings and provide support and education to help them understand the benefits of the dietary changes.

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A nurse is caring for a client who has impaired speech. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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