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 ["A","B","D"]
Explanation
A. Showing respect for a client’s treatment decisions supports their autonomy and fosters a positive communication environment.
B. Conveying empathy acknowledges the client’s emotions and builds a supportive relationship.
C. Interrupting a client who is expressing feelings can hinder effective communication and is not respectful.
D. Using clear and simple language ensures the client understands the information being shared.
E. Crossing arms can be perceived as a defensive or closed-off posture, which can escalate conflict.
Correct Answer is B
Explanation
A. Searching for similar policies online may provide information, but it does not ensure that the best available evidence is being used.
B. Using databases like Google Scholar, CINAHL, or PubMed ensures access to peer-reviewed, high-quality research articles, which is essential for evidence-based practice.
C. Collecting an opinion poll does not provide the best available evidence or focus on current research literature for policy updates.
D. Wikipedia is not a reliable or scholarly source for evidence-based practice.
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