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 A
Explanation
A. Speak clearly and distinctly while facing the patient: Presbycusis is age-related hearing loss, especially for high-pitched sounds; facing the patient allows for lip-reading and better auditory cues.
B. Place needed articles within easy reach: This is more relevant for fall prevention or physical limitations, not specifically hearing loss.
C. Orient the patient to time and place as needed: This intervention is for cognitive deficits such as dementia or delirium.
D. Announce your presence when entering the patient's room: While polite and helpful, it does not address the communication barrier caused by presbycusis as effectively as clear speech.
Correct Answer is D
Explanation
A. 24-hour dietary intake of 75% of meals
This indicates adequate intake and is generally not concerning.
B. 24-hour urinary output of 1450 mL
This is within the normal range for urinary output and does not indicate GI dysfunction.
C. Weight loss of 2 lb since admission 2 months ago
While unintended weight loss in older adults is important, 2 pounds over 2 months is mild and not the most urgent finding.
D. Last bowel movement 4 days ago
Constipation is common but potentially serious in older adults. Not having a bowel movement for 4 days increases the risk for fecal impaction, discomfort, or bowel obstruction, and warrants intervention.
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