An 84-year-old cognitively-impaired gentleman is admitted from a skilled nursing facility to your acute care facility for increasing agitation and combativeness in the last few days. Which of the following is an example of effective communication with this client?

Speak loudly and use simple words

Address the client by name and reorient client

Challenge the client to refocus his attention when he becomes agitated

Ask the client a series of questions without allowing time for the client to answer

Answer and Explanation

The Correct Answer is B

A. Speak loudly and use simple words: Speaking loudly may be perceived as shouting and can increase agitation. Using simple words is appropriate, but volume should be normal and calm.
B. Address the client by name and reorient client: Addressing the client by name and reorienting him is effective because it respects his dignity and helps him understand his current situation, reducing confusion and agitation. This approach is clear, respectful, and supportive.
C. Challenge the client to refocus his attention when he becomes agitated: Challenging the client can be confrontational and may escalate agitation. It is better to use a calm, reassuring approach.
D. Ask the client a series of questions without allowing time for the client to answer: This can overwhelm and frustrate the client, leading to increased agitation.

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Correct Answer is A

Explanation

A. Assessment: Assessment involves collecting data about the client's condition. Noting the heart rate before administering medication is part of the assessment.
B. Analysis: Analysis involves interpreting the collected data to make decisions about the client's care. While the nurse is analyzing the data (the heart rate), this step follows the initial assessment.
C. Planning: Planning involves setting goals and deciding on interventions based on the assessment and analysis. Holding the medication could be considered part of planning but comes after assessing the heart rate.
D. Evaluation: Evaluation involves determining the effectiveness of interventions. This is not applicable in this situation.

A. Sit patiently, quietly, and engaged B. use open ended questions starting with Why C. use open ended questions starting with Tell D. Allow the client time to think a reflect E. Use close ended questions to establish an increase in communication

Correct Answer is ["A","C","D"]

Explanation

A. Sit patiently, quietly, and engaged. This shows the nurse is present and supportive, allowing the client to feel comfortable and respected.
B. Use open-ended questions starting with "Why."Questions starting with "Why" can be perceived as accusatory or confrontational, potentially increasing the client's discomfort.
C. Use open-ended questions starting with "Tell." Open-ended questions encourage the client to express themselves more freely, facilitating communication.
D. Allow the client time to think and reflect. Giving the client time respects their need to process thoughts and feelings before responding.
E. Use close-ended questions to establish an increase in communication. Close-ended questions can limit responses and do not encourage the client to open up or elaborate on their feelings.

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An 84-year-old cognitively-impaired gentleman is admitted from a skilled nursing facility to your acute care facility for increasing agitation and combativeness in the last few days. Which of the following is an example of effective communication with this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","C","D"]

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