A client's daughter asks the nurse for assistance in communicating with her mother who has sensorineural hearing loss.
Which point is appropriate for the nurse to teach?

Repeat short phrases at slightly increased speed.

Limit her daily caffeine intake.

Face her directly when you are speaking to her.

Occasionally vary between higher and lower pitch of your voice.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Speaking at increased speed may hinder comprehension in individuals with sensorineural hearing loss, as clarity diminishes with rapid verbalization.

Choice B rationale

Reducing caffeine intake is irrelevant to auditory function; caffeine influences systemic effects but does not aid hearing impairment.

Choice C rationale

Facing the individual directly ensures clear visual cues, including lip reading, critical for communication with sensorineural hearing loss.

Choice D rationale

Varying pitch disrupts consistency in auditory perception; maintaining a steady tone aids clarity for impaired auditory processing.

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Correct Answer is C

Explanation

Choice A rationale

Asking the patient why they are behaving inappropriately does not address or stop the behavior. This approach may escalate the situation, leading to further discomfort for others.

Choice B rationale

Recommending 1: observation without addressing the behavior does not teach social boundaries. It is a passive solution that misses the opportunity for behavior correction.

Choice C rationale

Pointing out the behavior as unacceptable sets clear boundaries and educates the patient on appropriate social conduct. It creates an opportunity for the patient to reflect and adjust their behavior.

Choice D rationale

Having the patient return to their room may temporarily stop the behavior but does not educate the patient or reinforce appropriate boundaries for public settings.

A. Cross the lower extremities, then turn the hips and shoulders. B. Have the patient grasp the side rail and assist with turning. C. The nurse can independently use a draw sheet to move the patient. D. With one person holding the head, two others log roll the patient as a unit.

Correct Answer is D

Explanation

Choice A rationale

Crossing the lower extremities and turning the hips and shoulders separately risks twisting or misalignment of the spinal column, which is contraindicated in spinal cord injury patients.

Choice B rationale

Asking the patient to assist by grasping the side rail is inappropriate as it may worsen the injury or result in unsafe movement, especially if the spinal cord is unstable.

Choice C rationale

Moving the patient independently with a draw sheet is unsafe due to the risk of misalignment or additional spinal damage, necessitating assistance and a coordinated approach.

Choice D rationale

Log rolling with one person holding the head and two others moving the body ensures spinal alignment and minimizes further injury during repositioning of spinal cord injury patients.

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A client's daughter asks the nurse for assistance in communicating with her mother who has sensorineural hearing loss.Which point is appropriate for the nurse to teach?

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A client's daughter asks the nurse for assistance in communicating with her mother who has sensorineural hearing loss.
Which point is appropriate for the nurse to teach?