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.
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Related Questions
Correct Answer is D
Explanation
A. Imagery is a process of using pictures to remember past events with positive regard.
This statement is incorrect because imagery in the context of communication is not about remembering past events but about using mental visualization to prepare for future interactions.
B. Imagery is most successful if visualizations are ambiguous and constrained.
Effective imagery relies on clear and specific visualizations rather than ambiguous or constrained ones. Success comes from vivid, detailed mental rehearsals.
C. Imagery only works if individuals truly believe that all things work out for the best.
Belief in a positive outcome is helpful but not the sole factor for successful imagery. The effectiveness of imagery depends on mental practices and techniques rather than just optimism.
D. Imagery works because the brain does not discriminate between thoughts and actions.
This statement is correct. Imagery leverages the brain’s ability to treat imagined scenarios as real experiences, which helps build confidence and prepare for actual events.
Correct Answer is A
Explanation
A. This response dismisses the mother's feelings and offers a solution without addressing her emotional concerns. It does not support or validate her feelings, which is considered nontherapeutic.
B. This is a therapeutic response as it seeks to understand and validate the mother’s feelings.
C. This is a therapeutic response as it involves empathetic nonverbal communication.
D. This is a therapeutic response as it acknowledges and validates the mother’s feelings.
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