A nurse at a LTC is giving instructions to a group of newly hired assistive personnel (AP). Which of the following instructions should the nurse give regarding clients who are hearing impaired?
Only ask questions with yes or no answers.
Maintain eye contact with the client.
Stand to one side of the client and speak in their good ears.
Speak loudly with exaggerated enunciation.
The Correct Answer is B
A. Only ask questions with yes or no answers.
This limits communication and is not necessary. Hearing-impaired clients can engage in meaningful conversation when communication is properly supported.
B. Maintain eye contact with the client.
Maintaining eye contact and facing the client helps with lip reading and understanding facial cues, enhancing communication.
C. Stand to one side of the client and speak in their good ear.
Speaking directly in the ear is not appropriate as it may distort sound and invade personal space. Face the client instead.
D. Speak loudly with exaggerated enunciation.
This can actually distort speech and appear patronizing. Speaking clearly and at a normal volume is more effective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Inadequate hydration: Can contribute to thickened secretions but is not the primary age-related factor in respiratory infections.
B. Decreased physical activity: May contribute indirectly to overall health decline but is not specific to infection risk.
C. Decreased ciliary action: Aging reduces ciliary function in the respiratory tract, impairing the clearance of pathogens and increasing infection risk.
D. Poor personal hygiene: While hygiene is important, it is not a typical physiologic age-related factor for respiratory infection.
Correct Answer is ["A","B","C"]
Explanation
A. Decreased resting cardiac output
Cardiac output decreases due to reduced myocardial efficiency and heart muscle compliance.
B. Increased risk for heart attack
Atherosclerosis and vascular stiffness raise the risk of myocardial infarction.
C. Increased blood pressure
Arterial stiffness and decreased elasticity lead to increased systolic blood pressure.
D. Increased coronary blood flow
Blood flow may actually decrease due to narrowing of coronary arteries.
E. Decreased rigidity of the heart
Aging causes the heart muscle to increase in rigidity (i.e., become stiffer), not decrease.
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