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 D
Explanation
A. This response is conditional and does not express a clear boundary or communicate the nurse’s own needs and limitations.
B. This response expresses frustration but does not address the request in an assertive or rational manner.
C. This response prioritizes the manager’s feelings over the nurse’s own boundaries and needs.
D. This response clearly and directly communicates the nurse’s inability to take on the extra shift, which is an assertive and rational way to set a boundary.
Correct Answer is D
Explanation
A. The patient develops maladaptive coping strategies.
This indicates a negative response to imagery, as maladaptive coping strategies are not a favorable outcome.
B. The patient’s immune response is suppressed.
A suppressed immune response is a negative outcome and suggests that the imagery is not having a beneficial effect.
C. The patient’s healing time is increased.
Increased healing time indicates that the imagery is not effectively supporting the patient’s recovery or well-being.
D. The patient’s blood pressure is better controlled.
This indicates a positive response to imagery. Effective use of imagery can lead to improved physiological responses such as better blood pressure control, showing that the technique is helping the patient.
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