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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Determine the location of the pain. The nurse should first assess the client's pain, including its location, intensity, quality, and factors that alleviate or exacerbate it. This assessment is critical to determining the most appropriate intervention and evaluating the effectiveness of the treatment.
B. Reposition the client: Repositioning is a valid nursing intervention for managing pain caused by discomfort or poor positioning. However, it should not be the first action, as the nurse must first assess the pain to determine if repositioning alone is sufficient or if medication is necessary.
C. Review the effects of the pain medication: While reviewing the effects of the prescribed medication is important to ensure its appropriateness and safety, this step is part of preparation for medication administration. It is not the first action; assessment of the client's pain takes priority.
D. Administer the medication: Administering pain medication without assessing the client's pain is not appropriate. Pain management should be individualized, and assessment ensures that the prescribed medication is suitable for the client's current pain and condition.
Correct Answer is D
Explanation
A. Flumazenil: Flumazenil is an antidote for benzodiazepines, not opioids, and is therefore not appropriate for morphine overdose.
B. Protamine: Protamine is used to reverse the effects of heparin, not opioids.
C. Neostigmine: Neostigmine is an antidote for neuromuscular blocking agents, not opioids.
D. Naloxone: Naloxone is the antidote for opioid overdose and reverses the effects of morphine, making it the correct medication to have available.
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