A nurse is preparing to communicate with a hearing-impaired client during a routine assessment. Which of the following strategies is most appropriate for ensuring effective communication with this client?

Use written communication to supplement verbal instructions and ensure the client understands the information.

Use gestures and non-verbal cues only, without speaking, as the client is able to read lips effectively.

Avoid standing in front of the client while speaking,

Speak loudly and slowly to the client to ensure they can hear you clearly.

Answer and Explanation

The Correct Answer is A

A. "Use written communication to supplement verbal instructions and ensure the client understands the information." Written communication supports understanding, especially when hearing impairment may limit verbal communication.

B. "Use gestures and non-verbal cues only, without speaking, as the client is able to read lips effectively." Lip reading alone is insufficient for most hearing-impaired clients. Combining gestures, speech, and written communication is more effective.

C. "Avoid standing in front of the client while speaking." Standing in front of the client is crucial to ensure visibility for lip-reading or interpreting gestures.

D. "Speak loudly and slowly to the client to ensure they can hear you clearly." Speaking too loudly may distort sounds, and slow speech does not always enhance comprehension. Instead, normal tone and clear enunciation are recommended.

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Correct Answer is C

Explanation

A. Language barriers: While language barriers can impact healthcare access and understanding, they are not as globally impactful as poverty.

B. Transportation access: Limited transportation access can affect healthcare access but does not encompass the broad, systemic impacts of poverty.

C. Poverty. Poverty is a primary social determinant of health that affects access to healthcare, nutrition, education, and safe living conditions, significantly increasing the risk of negative health outcomes.

D. Genetics: Although genetics influence individual health, they are not a social determinant of health.

A. Autonomy B. Fidelity C. Veracity D. Beneficence

Correct Answer is A

Explanation

A. Autonomy: Respecting a client’s right to make their own decisions, including the refusal of a protein and calorie supplement, demonstrates the ethical principle of autonomy.

B. Fidelity: Fidelity involves being faithful to commitments and responsibilities, but this scenario focuses on the client’s decision-making rights rather than the nurse’s loyalty.

C. Veracity: Veracity refers to truth-telling, which is not directly related to the client refusing the supplement.

D. Beneficence: Beneficence involves acting in the client’s best interest, but forcing treatment would conflict with respecting autonomy.

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A nurse is preparing to communicate with a hearing-impaired client during a routine assessment. Which of the following strategies is most appropriate for ensuring effective communication with this client?

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Naxlex Comprehensive Predictor Exams

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