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. “Would you like medication for the pain?”
This question is not specific to understanding the cause or nature of the back pain. It addresses only the patient’s desire for pain relief rather than gathering detailed information about the pain itself.
B. “What have you been doing in the last few days?”
This question helps the nurse gather specific information about the activities that may have contributed to or exacerbated the back pain. It is essential for understanding the context of the pain, such as recent physical activities, injuries, or changes in routine that might have led to the issue.
C. “What do you think caused the back pain?”
This question is less specific and can lead to subjective or inaccurate information. It shifts the responsibility of diagnosing the cause of the pain to the patient rather than seeking concrete details about recent activities.
D. “Do you have a family history of osteoporosis?”
While relevant to some aspects of back pain, this question is more focused on risk factors rather than gathering specific details about the current episode of back pain.
Correct Answer is D
Explanation
A. Remaining silent when a resident tells a demeaning joke may not be ideal, but it's not as harmful as actively making a demeaning joke.
B. Laughing together while watching television is a positive interaction.
C. Laughing at themselves after an accident can foster a positive environment and is harmless.
D. Making a joke about a confused resident to other residents is inappropriate and demeaning, requiring intervention.
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