A nurse is discussing factors that influence communication with a group of newly licensed nurses. Which of the following information should the nurse include?
Hearing loss is considered a development factor that has minimal effect on nurse-client communication.
Clients who have developmental deficits are less distracted by environmental noises than client who do not have these deficits.
Nurses might focus on a client's physiological needs over psychosocial needs when communicating during care.
Nurses caring for clients experiencing a highly emotional situation report that communication is rarely affected.
The Correct Answer is D
A. Hearing loss is a significant factor that can significantly impact nurse-client communication. Clients with hearing loss may have difficulty understanding what is being said, leading to misunderstandings and frustration.
B. Clients with developmental deficits may be more sensitive to environmental noises and distractions, which can make it difficult to focus on communication.
C. This can be a significant barrier to effective communication, as it can lead to neglecting the client's emotional and psychological needs. It's important for nurses to be aware of this tendency and to make a conscious effort to address both the physical and emotional needs of their clients.
D. Emotional factors can significantly affect communication. When clients are experiencing a highly emotional situation, they may be more likely to become overwhelmed, anxious, or defensive, which can make it difficult to communicate effectively.
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Related Questions
Correct Answer is D
Explanation
A. The reservoir is the natural habitat of the infectious agent where it lives, grows, and multiplies. In the case of hepatitis A, the reservoir could be contaminated food, water, or infected individuals. The mouth is not the reservoir; rather, it is a route through which the infection enters the body.
B. The infectious agent is the pathogen (bacteria, virus, or other microorganisms) that causes the disease. For hepatitis A, the infectious agent is the hepatitis A virus itself. The mouth is not the infectious agent; it's the entry point for the virus.
C. A susceptible host is an individual who is at risk of infection due to factors such as weakened immunity, age, or underlying health conditions. The client with hepatitis A is a susceptible host, but the mouth is not categorized as such.
D. The portal of entry is the way an infectious agent enters a susceptible host. In the case of hepatitis A acquired through contaminated food, the mouth serves as the portal of entry. The virus enters the body when the contaminated food is ingested.
Correct Answer is A
Explanation
A. Using a designated interpreter ensures that communication is accurate and professional, minimizing the risk of misunderstandings. Facilities often have protocols for accessing interpreters who are trained to handle medical conversations, making this the safest choice.
B. While electronic translating services can be useful, they are not always reliable for medical situations. These services may lack the necessary context for medical terminology and nuances, and they may not ensure confidentiality or accuracy.
C. Involving the client’s partner as an interpreter can lead to issues of accuracy, bias, and confidentiality. The partner may not fully understand medical terminology, and there is a potential for miscommunication or emotional involvement that could affect the interpretation.
D. While this option may seem helpful, it is not ideal. Using a colleague as an interpreter can compromise the confidentiality and professionalism of the interaction. Additionally, the colleague may not have the training necessary to accurately convey medical information, and there might be a conflict of interest.
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