A nurse is caring for a client who is postoperative

Exhibits

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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Explain positive consequences of using appropriate language.
This approach comes later, after the issue has been addressed. The initial step is to directly address the behavior.

B. Ask the client to avoid using offensive language.
The first step in a respectful confrontation is to directly address the behavior by asking the client to change it, focusing on the immediate behavior without judgment.

C. Tell the client that offensive language is a problem.
This is not the first step; it is important to address the behavior directly rather than just stating it is a problem.

D. Describe how the offensive language is disrespectful of others.
This step involves more detailed explanation and is a follow-up to asking the client to change their behavior.

A. Develop a new positive statement every 2 to 3 days. B. Use statements that refer to positive actions that will occur in the future. C. Write down short, specific positive statements. D. Review written positive statements 2 to 3 times per month.

Correct Answer is C

Explanation

A. Develop a new positive statement every 2 to 3 days.
This option is not ideal as it does not provide a consistent or sustainable method for maintaining optimism. Regularly developing new statements may not be as effective as having a set of affirmations that can be reviewed more frequently.

B. Use statements that refer to positive actions that will occur in the future.
Focusing only on future events may lead to unrealistic expectations. Affirmations should include present-focused, positive statements that reflect current realities and support ongoing optimism.

C. Write down short, specific positive statements.
Short, specific positive statements are practical for daily use and can help reinforce a positive mindset. They are easy to remember and can be reviewed regularly to support hope and optimism in challenging situations.

D. Review written positive statements 2 to 3 times per month.
This frequency is too infrequent to be effective for maintaining a hopeful and optimistic mindset. More frequent review of affirmations (such as daily or weekly) is generally recommended for maintaining a positive outlook.

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A nurse is caring for a client who is postoperative Exhibits Which of the following factors could present a barrier to the nurse effectively communicating with the client? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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A nurse is caring for a client who is postoperative Exhibits Which of the following factors could present a barrier to the nurse effectively communicating with the client? Select all that apply.

A nurse is caring for a client who is postoperative

Exhibits

Which of the following factors could present a barrier to the nurse effectively communicating with the client? Select all that apply.