A nurse is caring for a client who has impaired speech. Which of the following actions should the nurse take?

Allow extra time to communicate with the client.

Ask open-ended questions.

Finish sentences for the client.

Avoid using visual aids for communication.

Answer and Explanation

The Correct Answer is A

Choice A reason : Allow extra time to communicate with the client.Allowing extra time to communicate is essential when caring for clients with impaired speech. This approach respects the client's pace and supports their efforts to express themselves, which can be a time-consuming process. It also helps to reduce frustration and anxiety that the client may feel if rushed⁵.

Choice B reason : Ask open-ended questions.Asking open-ended questions to a client with impaired speech can be challenging for them to answer and may lead to frustration. Instead, it's recommended to ask yes/no questions or provide choices to facilitate easier communication⁵.

Choice C reason : Finish sentences for the client.Finishing sentences for a client with impaired speech is generally discouraged as it can lead to miscommunication and may make the client feel disempowered. It's important to allow the client to express themselves in their own words and time⁵.

Choice D reason : Avoid using visual aids for communication.Using visual aids can be very helpful for clients with impaired speech. Visual aids such as pictures, gestures, or writing can support understanding and expression, making communication more effective⁵.

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Correct Answer is D

Explanation

Choice A reason : Denial is the first stage of the Kübler-Ross model of grief. In this stage, individuals believe the diagnosis is somehow mistaken, and cling to a false, preferable reality. It is a defense mechanism that buffers the immediate shock of the loss, numbing us to our emotions.

Choice B reason : Anger is the second stage of grief. As the masking effects of denial begin to wear off, reality and its pain re-emerge. The intense emotion is deflected from our vulnerable core, redirected and expressed instead as anger. The anger may be aimed at inanimate objects, complete strangers, friends, or family.

Choice C reason : Bargaining is the third stage. It involves the hope that the individual can avoid a cause of grief. Usually, the negotiation for an extended life is made with a higher power in exchange for a reformed lifestyle.

Choice D reason : Acceptance is the final stage of grief. In this stage, individuals embrace mortality or the inevitable future, or that of a loved one, or other tragic event. People dying may precede the survivors in this state, which typically comes with a calm, retrospective view for the individual, and a stable condition of emotions.

A. Attention-deficit/hyperactivity disorder (ADHD) B. Hypotension C. Rheumatoid arthritis D. Diabetes mellitus

Correct Answer is D

Explanation

Choice A reason : Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by inattention, hyperactivity, and impulsivity. While the causes of ADHD are not fully understood, current research does not establish childhood obesity as a direct risk factor for developing ADHD. ADHD is thought to be linked to genetic factors and certain environmental exposures during pregnancy.

Choice B reason : Hypotension, or low blood pressure, is generally not associated with childhood obesity. In fact, obesity, especially in the long term, is more commonly linked to hypertension (high blood pressure) due to increased strain on the heart and blood vessels, and not hypotension.

Choice C reason : Rheumatoid arthritis is an autoimmune condition that causes joint inflammation and damage. It is not typically considered a direct complication of childhood obesity. While obesity can contribute to joint problems due to increased mechanical stress, it is not a known cause of autoimmune conditions like rheumatoid arthritis.

Choice D reason : Diabetes mellitus, particularly type 2 diabetes, is a well-documented potential complication of childhood obesity. Obesity increases the risk of developing insulin resistance, which can lead to elevated blood sugar levels and eventually type 2 diabetes. The excess fat, particularly visceral fat, is associated with chronic inflammation and metabolic changes that contribute to the development of diabetes⁴.

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A nurse is caring for a client who has impaired speech. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

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