A nurse is caring for a client with cognitive impairment.
Which of the following actions should the nurse take to enhance understanding?
Avoid eye contact to prevent confusion.
Speak quickly to maintain the client’s attention.
Allow the client extra time to respond.
Use complex sentences to stimulate cognitive function.
The Correct Answer is C
Choice A rationale
Avoiding eye contact to prevent confusion is incorrect. Eye contact is an important aspect of effective communication and helps to establish a connection with the client. Avoiding eye contact can make the client feel ignored or unimportant, which can hinder understanding and trust.
Choice B rationale
Speaking quickly to maintain the client’s attention is incorrect. Clients with cognitive impairment may have difficulty processing information quickly. Speaking slowly and clearly allows the client more time to understand and respond to the information being communicated.
Choice C rationale
Allowing the client extra time to respond is correct. Clients with cognitive impairment may need additional time to process information and formulate a response. Allowing extra time helps to ensure that the client fully understands the information and can respond appropriately.
Choice D rationale
Using complex sentences to stimulate cognitive function is incorrect. Simple and clear communication is more effective for clients with cognitive impairment. Complex sentences can be confusing and difficult for the client to understand, which can hinder effective communication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Any competent adult regardless of age or health status can create an advance directive. Advance directives are legal documents that allow individuals to specify their preferences for medical care in case they become unable to communicate their wishes. Competence is the key requirement, meaning the individual must be able to understand and make decisions about their medical care.
Choice B rationale
Only individuals with terminal illnesses is incorrect. While individuals with terminal illnesses may benefit from having an advance directive, it is not a requirement. Advance directives are available to any competent adult, regardless of their health status.
Choice C rationale
Only individuals over the age of 65 is incorrect. Advance directives can be created by any competent adult, regardless of age. It is important for all adults to consider having an advance directive to ensure their medical preferences are known and respected.
Choice D rationale
Only individuals with chronic medical conditions is incorrect. While individuals with chronic medical conditions may benefit from having an advance directive, it is not a requirement.
Advance directives are available to any competent adult, regardless of their health status.
Correct Answer is B
Explanation
Choice A rationale
A respiratory therapist is not typically required to assist a stroke client with dysphagia. Their expertise is more focused on respiratory issues rather than swallowing difficulties.
Choice B rationale
A speech therapist is the correct team member to assist a stroke client with dysphagia. Speech therapists specialize in diagnosing and treating swallowing disorders, which are common in stroke patients.
Choice C rationale
A physical therapist focuses on improving a client’s physical mobility and strength. While they play a crucial role in stroke rehabilitation, they are not specifically trained to address dysphagia.
Choice D rationale
A pharmacist’s role is to manage and dispense medications. They do not have the specialized training required to assist with dysphagia.
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