A nurse is caring for a client who is hearing-impaired and takes which approach to best facilitate communication? (Select all that apply)
Speaks in a normal tone
Speaks frequently
Speaks directly into the unaffected ear
Speaks in a normal volume
Correct Answer : A,D
Choice A reason: Speaks in a normal tone is an approach that can best facilitate communication with a client who is hearing-impaired. Speaking in a normal tone can help the client to hear the natural variations and inflections of the voice, and to avoid distortion or confusion. Speaking in a high-pitched or low-pitched tone can make the voice harder to hear or understand, especially if the client has a hearing loss in a specific frequency range. Therefore, this choice is correct.
Choice B reason: Speaks frequently is not an approach that can best facilitate communication with a client who is hearing-impaired. Speaking frequently can overwhelm or fatigue the client, and reduce their ability to process or retain the information. Speaking frequently can also interrupt the client’s thoughts or responses, and prevent them from expressing their needs or concerns. Speaking clearly and concisely, and allowing pauses or breaks, can enhance communication with a client who is hearing-impaired. Therefore, this choice is incorrect.
Choice C reason: Speaks directly into the unaffected ear is not an approach that can best facilitate communication with a client who is hearing-impaired. Speaking directly into the unaffected ear can create an uncomfortable or unnatural position for the client and the nurse, and interfere with eye contact or facial expressions. Speaking directly into the unaffected ear can also create a loud or distorted sound that may be unpleasant or painful for the client.
Speaking face-to-face, and slightly toward the unaffected ear, can improve communication with a client who is hearing-impaired. Therefore, this choice is incorrect.
Choice D reason: Speaks in a normal volume is an approach that can best facilitate communication with a client who is hearing-impaired. Speaking in a normal volume can help the client to hear the voice without difficulty or strain, and to avoid embarrassment or irritation. Speaking in a loud volume can make the voice harder to hear or understand, as it can cause background noise, echo, or feedback. Speaking in a loud volume can also imply shouting or anger, which can be disrespectful or offensive to the client. Therefore, this choice is correct.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is correct because it shows that the nurse is respectful and sensitive to the client’s language and cultural needs. Speaking slowly and providing examples can help the client comprehend and retain the information.
Choice B reason: This is incorrect because it shows that the nurse is overwhelming and insensitive to the client’s language and cultural needs. Giving too much information or using complex terms can confuse and frustrate the client.
Choice C reason: This is incorrect because it shows that the nurse is assuming and delegating the responsibility of communication to someone else. Getting an interpreter or a family member may not be necessary or appropriate if the client speaks English. The nurse should communicate directly with the client as much as possible.
Choice D reason: This is incorrect because it shows that the nurse is rude and disrespectful to the client’s language and cultural needs. Speaking quickly and avoiding eye contact can make the client feel ignored or intimidated. The nurse should maintain eye contact and speak at a normal pace.
Correct Answer is C
Explanation
Choice A reason: Be silent as a sign of compassion is not an appropriate action for the nurse to take when a client bursts into tears. Silence can be misinterpreted as indifference, disapproval, or rejection, and it can make the client feel more isolated or uncomfortable. Therefore, this choice is incorrect.
Choice B reason: Continue with the physical preparation of the client is not an appropriate action for the nurse to take when a client bursts into tears. Continuing with the task without acknowledging the client’s emotional state can be perceived as insensitive, uncaring, or disrespectful, and it can increase the client’s anxiety or distress. Therefore, this choice is incorrect.
Choice C reason: Ask the client to share what she is feeling is an appropriate action for the nurse to take when a client bursts into tears. Asking open-ended questions can encourage the client to express her emotions, concerns, or fears, and it can show that the nurse is interested, supportive, and empathetic. It can also help the nurse to identify the source of the client’s distress and provide appropriate interventions or referrals. Therefore, this choice is correct.
Choice D reason: Pull the curtain and leave the area to provide privacy is not an appropriate action for the nurse to take when a client bursts into tears. Leaving the client alone can make her feel abandoned, ignored, or unimportant, and it can prevent the nurse from providing emotional support or assistance. Therefore, this choice is incorrect.
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