A nurse is assisting with teaching a client who has visual impairment. Which of the following actions should the nurse take?
Turn on the television in the client's room during the educational session.
Use a loud tone of voice during the educational session.
Use reading material written with a large print.
Identify your presence in the client's room by tapping the client's arm.
The Correct Answer is C
A. Turn on the television in the client's room:
Turning on the TV introduces distracting noise and stimulation, which can make learning more difficult. Clients with visual impairment rely more heavily on auditory input; background noise competes with this and reduces comprehension.
B. Use a loud tone of voice:
Visual impairment does not equate to hearing impairment. Raising your voice unnecessarily may be perceived as rude, condescending, or startling. Effective teaching involves speaking clearly, slowly, and respectfully at a natural tone.
C. Use reading material written with a large print:
Large-print material improves visual accessibility and enhances the client’s ability to read and retain information. This is an appropriate and evidence-based accommodation for clients with limited visual acuity.
D. Identify your presence by tapping the client's arm:
Touching the client without warning can be startling and is inappropriate. Best practice is to announce yourself verbally upon entering the room and explain what you are going to do before touching the client. Verbal cues support independence and trust.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Dilated pupils:
During sympathetic nervous system activation, pupils dilate (mydriasis) to allow more light into the eyes, enhancing distance vision and improving the ability to detect threats. This is a classic physiological response to stress and danger.
B. Decreased blood pressure:
Blood pressure increases during fight-or-flight due to vasoconstriction, increased heart rate, and increased cardiac contractility. These changes help direct more blood to vital organs and muscles, enabling a rapid physical response.
C. Bronchial airway constriction:
The sympathetic response actually dilates the bronchioles, allowing more air to enter the lungs to support increased oxygen demand. Bronchial constriction occurs in parasympathetic states, not during fight-or-flight.
D. Hypoglycemia:
In a fight-or-flight response, the adrenal glands release epinephrine and cortisol, which stimulate glycogenolysis and gluconeogenesis. This results in increased blood glucose, not hypoglycemia, ensuring the muscles have an immediate energy source.
Correct Answer is D
Explanation
A. Hypothermia:
Hypothermia is a physiologicalstressor (a direct physical insult affecting body temperature and homeostasis), not a psychological stressor.
B. Wrist fracture:
A wrist fracture is a physical injuryor situational stressor (physiologic and functional), not primarily psychological.
C. Burn injury:
A burn is a physiologicalor physical stressor (tissue injury, metabolic response), not a psychological stressor.
D. Financial difficulties:
Financial difficulties are a psychosocial or psychologicalstressor - they create emotional strain, anxiety, and worry and are classic examples of psychological stressors that affect mental and emotional well-being.
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