A nurse is caring for a client who is postoperative
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
Using earphones while listening to music
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Vision loss affects sensory input but is not specifically a cognitive factor.
B. Excessive environmental noise affects communication but is an environmental factor rather than a cognitive factor.
C. Autism spectrum disorder is a cognitive factor that affects communication styles and needs.
D. Hearing loss affects sensory input but is not a cognitive factor.
Correct Answer is A
Explanation
A. Clarification helps the nurse understand the client's feelings and concerns by rephrasing or restating what the client has said.
B. Providing information would involve giving details about the procedure, not exploring the client's feelings.
C. Summarizing involves pulling together the main points of a discussion, rather than exploring specific concerns.
D. Confrontation involves addressing discrepancies or conflicts in a client's statements or behavior, which is not applicable in this situation.
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