A nurse is caring for a client who is postoperative
Which of the following factors could present a barrier to the nurse effectively communicating with the client? Select all that apply.
Client's hearing deficit
Volume of the client's television
Numerous visitors in the client's room
Increase in pain after ambulation Adverse effects of opioid analgesic
Using earphones while listening to music
Using earphones while listening to music
Correct Answer : A,B,E,F
A. Client's hearing deficit
Effective communication relies on the ability to hear and understand spoken messages. The client's hearing deficit impedes this process, making it difficult for the nurse to convey important information or assess the client’s needs.
B. Volume of the client's television
High TV volume can distract the client and make it hard for them to focus on or hear the nurse’s questions or instructions, thus impeding effective communication.
C. Numerous visitors in the client's room
The presence of visitors might affect communication, but based on the provided notes, it is not specifically identified as a current barrier.
D. Increase in pain after ambulation
Pain is a concern but does not directly interfere with the process of communication as long as it is managed appropriately.
E. Adverse effects of opioid analgesic
The client’s report of feeling “very sleepy” indicates that the opioid analgesic may be affecting their alertness and responsiveness, thus impeding effective communication.
F. Using earphones while listening to music
Earphones block out external sounds, including the nurse’s attempts to communicate, making it difficult for the client to hear or engage in a conversation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While knowing the duration of hypertension is useful, it doesn’t directly inform the development of a teaching plan.
B. Asking what the patient knows about hypertension helps the nurse assess the patient’s current knowledge level, which is essential for creating an effective teaching plan.
C. Knowing if the patient is taking medications is important, but it is a more specific detail rather than a foundational assessment for teaching.
D. Understanding why salt is bad is specific information but does not assess the patient’s overall knowledge of hypertension.
Correct Answer is D
Explanation
A. Exceptional care alone does not specifically address the use of techniques for emotional and psychological support.
B. Understanding care does not specifically refer to the techniques used to shift emotions.
C. Certified nurses may have additional qualifications, but this choice does not specifically address the method used for emotional support.
D. Nurse-guided imagery sessions are a technique used to help patients shift from fear to calmness by guiding them through mental visualizations.
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