A nurse is caring for a client who is postoperative

Exhibits

Which of the following factors could present a barrier to the nurse effectively communicating with the client? Select all that apply.

Client's hearing deficit

Volume of the client's television

Numerous visitors in the client's room

Increase in pain after ambulation Adverse effects of opioid analgesic

Using earphones while listening to music

Answer and Explanation

Correct Answer : A,B,E,F

A. Client's hearing deficit
Effective communication relies on the ability to hear and understand spoken messages. The client's hearing deficit impedes this process, making it difficult for the nurse to convey important information or assess the client’s needs.
B. Volume of the client's television
High TV volume can distract the client and make it hard for them to focus on or hear the nurse’s questions or instructions, thus impeding effective communication.
C. Numerous visitors in the client's room
The presence of visitors might affect communication, but based on the provided notes, it is not specifically identified as a current barrier.
D. Increase in pain after ambulation
Pain is a concern but does not directly interfere with the process of communication as long as it is managed appropriately.
E. Adverse effects of opioid analgesic
The client’s report of feeling “very sleepy” indicates that the opioid analgesic may be affecting their alertness and responsiveness, thus impeding effective communication.

F. Using earphones while listening to music
Earphones block out external sounds, including the nurse’s attempts to communicate, making it difficult for the client to hear or engage in a conversation.

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Correct Answer is C

Explanation

A. "You have this foot ulcer because you did not follow your diet and exercise plan."
This statement is accusatory and blames the patient, which is not constructive for feedback.

B. “I know you don't want to hear this, but uncontrolled diabetes leads to complications.”
This statement is dismissive and does not provide specific feedback or support.

C. “From my perspective, the foot ulcer occurred because your blood sugars are high.”
This statement provides clear, objective feedback and helps the patient understand the relationship between high blood glucose and complications.

D. “I am going to tell you what you are doing wrong because I know about diabetes.”
This statement is condescending and does not offer constructive feedback or support.

A. "You will get more attention from your physician if you follow diet restrictions." B. "Have you noticed that patients who eat healthy foods receive better healthcare?" C. “It doesn't make any difference to me whether you decide to eat healthy or not." D. "I care about you even if you are not following your dietary restrictions."

Correct Answer is D

Explanation

A. This statement is manipulative and does not show respect for the client's autonomy.

B. This statement is indirect and does not show genuine respect or concern for the client.

C. This statement is indifferent and dismissive, showing a lack of care and respect.

D. This statement expresses care and respect for the client regardless of their compliance with dietary recommendations.

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A nurse is caring for a client who is postoperative Exhibits Which of the following factors could present a barrier to the nurse effectively communicating with the client? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse cares for a patient who is admitted to the medical unit. The patient has type 2 diabetes mellitus, a blood glucose of 420 mg/dL, and a foot ulcer. Which statement, if made by the nurse, is appropriate when giving feedback to this patient?

Correct Answer is C

Explanation

The nurse cares for a client who does not follow dietary recommendations for treatment of heart failure. Which statement, if made by the nurse, demonstrates respect for the client?

Correct Answer is D

Explanation

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A nurse is caring for a client who is postoperative

Exhibits

Which of the following factors could present a barrier to the nurse effectively communicating with the client? Select all that apply.