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 ["B","D","E"]
Explanation
A. Blaming the instructor and making broad generalizations are not assertive approaches and can damage the professional relationship.
B. Asking for additional resources is a specific, constructive request for help, showing an assertive and proactive approach.
C. Questioning the instructor’s awareness of the students’ struggles is confrontational and does not focus on the student’s own needs.
D. Clearly stating difficulty with content and requesting a meeting is a respectful and assertive way to seek support.
E. Expressing a need for additional support to improve grades is a direct and assertive way to request help.
Correct Answer is B
Explanation
A. While it is important to have staff who can negotiate and support decisions, the manager’s role is to facilitate the process rather than just choose supporters.
B. Serving as the chairperson and facilitator ensures that the committee functions effectively and achieves its objectives.
C. Staff seeking personal recognition or advancement may not focus on the committee’s goals but rather on their own interests.
D. Recruiting only three or four staff members may be insufficient for a comprehensive review; a more diverse and larger group is often needed.
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