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 D
Explanation
A. Medical diagnosis
Important, but does not reflect the individual's day-to-day abilities and care needs.
B. Activities of daily living (ADLs)
ADLs are part of a functional assessment but not comprehensive alone.
C. Community resources
Help support care but are not the primary basis for determining care needs.
D. Functional assessment
Evaluates the older adult's ability to perform ADLs and instrumental ADLs, guiding personalized care planning.
Correct Answer is D
Explanation
A. Bowel incontinence
Not a common sign of drug reaction; may relate to neurological or GI dysfunction but is not specific to drug effects.
B. Skin rash
Can occur, but less common in older adults due to reduced immune responsiveness.
C. Kidney failure
A serious outcome, not an early or common sign. Often results from long-term nephrotoxicity rather than an acute adverse reaction.
D. Restlessness
Older adults may exhibit non-specific signs such as restlessness, confusion, agitation, or falls as early indicators of drug toxicity.
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