A nurse is caring for a client who is postoperative. Nurses' Notes
0745:
Client awake and eating breakfast while watching the news on television. Client has hearing loss, does not wear hearing aid, and TV volume is loud. Rates pain as a 2 on a 0 to 10 pain scale.
Incisional dressing dry and intact. 1000:
Client ambulated in hallway with physical therapist. Client grimacing. appears upset and is guarding incisional site. Reports pain a 5 on a 0 to 10 pain scale. Opioid analgesic administered.
1045
Client resting with eyes closed and listening to music with earphones. Reports feeling "very sleepy after pain medication. Now rates pain as a 3 on a 0 to 10 pain scale.
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
Correct Answer : A,C,D,E,F
The client's hearing deficit can certainly present a barrier to effective communication, as it may affect their ability to hear and understand verbal instructions or information provided by the nurse.
B. The loud volume of the client's television is not a barrier in this case as the client has hearing loss.
C. Having numerous visitors in the client's room can create distractions and make it challenging for the nurse to engage in private, focused communication with the client.
D. An increase in pain after ambulation can impact the client's ability to focus and engage in effective communication. The client may be preoccupied with managing their pain, which can hinder their receptiveness to communication from the nurse.
E. Adverse effects of opioid analgesic: Adverse effects of opioid analgesics, such as drowsiness or sedation, can impair the client's cognitive function and alertness, making it difficult for them to participate actively in communication with the nurse.
F. Using earphones while listening to music may create a physical barrier to communication, as it limits the nurse's ability to speak directly to the client or gain their attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
This information is relevant to the client's condition and should be documented in the medical record. It provides important information about the client's physical status following the fall and may influence subsequent care decisions.
B. This information is typically documented in the incident report itself rather than the client's medical record. While it is important for the healthcare facility's records, it is not typically included in the client's medical record unless there are specific policies or procedures mandating such documentation.
C. This information is more relevant to administrative records and risk management procedures rather than the client's medical record.
D. This information is relevant to the client's care and should be documented in the medical record. It indicates that appropriate actions were taken following the incident.
Correct Answer is B
Explanation
Explicit bias refers to the conscious and deliberate prejudiced attitudes or beliefs that individuals hold toward others based on factors such as race, ethnicity, gender, or other characteristics.
B. Implicit bias, on the other hand, involves unconscious attitudes or stereotypes that individuals hold toward others, even when they are unaware of these biases. These biases can influence thoughts, feelings, and behaviors, often without conscious awareness.
C. Color discrimination specifically refers to discriminatory treatment based on an individual's skin color or race.
D. Stereotyping involves the generalization of characteristics, traits, or behaviors to a particular group of people. While stereotyping is often influenced by bias, it may not always be unconscious.
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