A nurse is interviewing a male client who has a hearing impairment. What techniques would be most beneficial in communicating with this client?

Request a sign language interpreter before meeting the client

Determine the communication method that he prefers

Speak loudly and exaggerate facial movement when talking with him

Avoid using facial and hand gestures because its degrading

Answer and Explanation

The Correct Answer is B

A.   While this is useful for clients who know sign language, it's important to first determine the communication method that the client prefers.
B.   Each client may have different preferences or needs when it comes to communication, so it’s important to assess their preferred method before taking any further steps.
C.   Speaking loudly is not effective and can distort words for those with hearing impairments. The focus should be on clear communication, such as lip-reading or using writing.
D.   Facial and hand gestures can be helpful for communication, especially for individuals with hearing impairments. Avoiding them is unnecessary and could hinder understanding.

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Correct Answer is B

Explanation

A. This tests cranial nerve VIII (vestibulocochlear), not cranial nerve XI.
B. Moves the head and shoulders against resistance with equal strength. Cranial nerve XI (accessory nerve) innervates the sternocleidomastoid and trapezius muscles. The expected response would be equal strength when the patient moves their head and shoulders against resistance.
C. Follows an object with his or her eyes without nystagmus or strabismus. This describes the function of cranial nerve II (optic) or cranial nerve III (oculomotor), not cranial nerve XI.
D. Sticks out the tongue midline without tremors or deviation. This tests cranial nerve XII (hypoglossal), not cranial nerve XI.

A. Muscle atrophy will increase BMI B. Height may decrease due to changes in bone density. C. Increased skin elasticity will affect the waist hip ratio. C. Increased muscle mass will affect the mid-call circumference measurements.

Correct Answer is B

Explanation

A. Muscle atrophy, which typically occurs in older adults, may actually reduce BMI, not increase it, because muscle mass decreases with age.
B. Height may decrease due to changes in bone density. As people age, bone density decreases, and the vertebrae can compress, leading to a loss in height. This is a common occurrence in older adults.
C. Increased skin elasticity will affect the waist-hip ratio. Skin elasticity does not directly affect the waistto-hip ratio. The waist-to-hip ratio is more related to fat distribution than to skin elasticity.
D. Increased muscle mass will affect the mid-arm circumference measurements. Older adults typically experience muscle loss, not an increase in muscle mass, so this statement would not be accurate for an elderly client.

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A nurse is interviewing a male client who has a hearing impairment. What techniques would be most beneficial in communicating with this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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