A nurse is discussing effective communication techniques for a client who has visual impairment with a newly licensed nurse. Which of the following statements by the nurse indicates an understanding of the teaching?
"I will use a communication board to assess the client's needs."
“I will collaborate with a speech therapist about the client's plan of care."
"I will use indirect lighting in the client's room."
“I will use a loud tone of voice when speaking with the client.”
The Correct Answer is C
A. Using a communication board is appropriate for clients with speech or language impairments, not visual impairment.
B. Collaborating with a speech therapist is indicated for speech or communication disorders, not vision loss.
C. Using indirect lighting in the room is correct because it reduces glare and enhances visibility for clients with visual impairment, improving safety and comfort.
D. Speaking in a loud tone of voice is unnecessary unless the client also has a hearing impairment; visual impairment does not affect hearing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Administer packed RBCs. While blood transfusion may be urgently needed for hemorrhagic shock, it cannot be initiated until vascular access is established. It is important, but not the first step.
B. Obtain a specimen for ABG analysis. Arterial blood gases can provide valuable information about respiratory and metabolic status, but they are not the top priority in an unstable trauma patient.
C. Place a large-bore IV catheter in an upper extremity. Establishing IV access is the priority in trauma care, as it allows for rapid fluid resuscitation and medication administration. This intervention supports all subsequent emergency treatments.
D. Insert an indwelling urinary catheter. A catheter may be necessary for monitoring urine output as a sign of perfusion, but this is not the first action in a trauma situation where immediate stabilization is the priority.
Correct Answer is B
Explanation
A. The client calls the office multiple times per day to speak with their provider. This behavior may indicate anxiety or dependence, but it does not reflect rationalization, which involves making excuses to justify behavior.
B. The client states, "I only act this way because my partner makes me so angry." This is a clear example of rationalization, where the client is attempting to justify unacceptable behavior by blaming it on someone else rather than taking personal responsibility.
C. The client does not listen to the nurse during a discussion about their diagnosis. This may indicate denial or avoidance, not rationalization. The client may be overwhelmed and unwilling to accept the diagnosis.
D. The client reports that they get upset with their family members for "no apparent reason." This may suggest emotional dysregulation or projection, but it lacks the clear element of excuse-making that defines rationalization.
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