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 B
Explanation
A. Increased sodium
May indicate dehydration, but not specifically linked to malnutrition.
B. Decreased albumin
Albumin is a protein synthesized by the liver; low levels are a key indicator of chronic malnutrition.
C. Increased BUN
May reflect dehydration or renal impairment but not specific to malnutrition.
D. Decreased blood glucose
May occur with fasting or acute illness but not a definitive marker for prolonged malnutrition.
Correct Answer is A
Explanation
A. Weight-bearing exercises
Resistance and weight-bearing activities help preserve and improve muscle strength and mass in older adults.
B. Increased calcium in diet
Supports bone health, not directly muscle strength.
C. Limited walking and bicycling activities
Limiting activity would worsen muscle weakness and atrophy.
D. Use of a cane when walking
Canes help with safety and mobility but do not prevent muscle loss.
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