Clients with special needs require specific communication techniques. Which specific communication techniques should a nurse utilize when caring for a client who is cognitively impaired?

Keep communication simple and concrete

Focus on the clients family

Use open-ended questions

Demonstrate or pantomime ideas

Answer and Explanation

The Correct Answer is A

A. Keep communication simple and concrete: Using simple, straightforward language helps clients who are cognitively impaired to better understand the information being conveyed. Concrete language minimizes confusion and makes it easier for the client to process and respond to what is being said, promoting effective communication.

B. Focus on the client's family: While involving the client's family can be important for support and understanding, the primary focus should be on the client themselves. Communication techniques should prioritize addressing the needs and comprehension of the cognitively impaired client directly.

C. Use open-ended questions: Open-ended questions may be challenging for cognitively impaired clients, as they require more complex processing and can lead to confusion. It is often more effective to use closed questions that allow for simple yes or no responses, making it easier for the client to engage in the conversation.

D. Demonstrate or pantomime ideas: While demonstration can be helpful, it should complement verbal communication rather than replace it. For cognitively impaired clients, combining simple verbal instructions with visual cues or demonstrations can enhance understanding but should not be the sole technique used. It’s important to assess the individual client's abilities and preferences when employing this method.

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Correct Answer is B

Explanation

A. To increase blood flow to the wound site: While debridement may indirectly help improve blood flow by removing barriers to healing, its primary purpose is not to increase blood flow. Increased blood flow is a result of improved wound bed conditions rather than the main goal of the procedure.

B. To remove necrotic tissue to promote healing: The primary purpose of wound debridement is to remove necrotic (dead) or devitalized tissue from the wound bed. This process promotes healing by creating a clean wound environment, facilitating granulation tissue formation, and reducing the risk of infection, making this option the most accurate.

C. To apply antibiotics directly to the wound: While antibiotics may be part of the overall wound care plan, debridement itself is not intended for the direct application of antibiotics. The focus is on removing non-viable tissue rather than applying medications during the procedure.

D. To prevent scar formation: While proper wound care, including debridement, can help improve healing outcomes and potentially minimize scarring, the primary aim of debridement is not to prevent scars. Scarring is influenced by multiple factors, including the type of wound, depth, and individual healing responses.

A. "I will keep my walker at the end of my bed." B. "I will place an area rug at the entry of my bathroom." C. 1 will keep the fluorescent ceiling light in my room at night." D. "I will place a bath seat in my shower to use when I bathe."

Correct Answer is D

Explanation

A. "I will keep my walker at the end of my bed.": Storing a walker at the end of the bed may not be the safest option. The walker should be kept within easy reach to ensure the client can access it promptly when getting up, reducing the risk of falls.

B. "I will place an area rug at the entry of my bathroom.": Placing an area rug in a high-traffic area like the bathroom can create a tripping hazard, increasing the risk of falls. It is important to keep walking paths clear and free from obstacles to ensure safety.

C. "I will keep the fluorescent ceiling light in my room at night.": While having adequate lighting is important, keeping the light on at night may not address the need for easy access to light sources. The client should consider using nightlights or ensuring that light switches are easily accessible to avoid navigating in the dark.

D. "I will place a bath seat in my shower to use when I bathe.": This statement indicates an understanding of safety measures to prevent falls while bathing. Using a bath seat can provide stability and allow the client to bathe safely while reducing the risk of slipping or losing balance in the shower. This reflects the client's awareness of their needs related to fall prevention.

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Clients with special needs require specific communication techniques. Which specific communication techniques should a nurse utilize when caring for a client who is cognitively impaired?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In a clinical setting, a patient with a chronic wound is scheduled for debridement. Which of the following is the primary purpose of wound debridement?

Correct Answer is B

Explanation

A nurse is teaching a client who has a history of falls about home safety. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

Correct Answer is D

Explanation

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