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. Closed-ended questioning involves yes/no or brief answers, which is not the case here.

B. Empathizing would involve expressing understanding of the client's feelings rather than asking for more information.

C. Focusing directs the conversation to a specific topic or concern, which the nurse does by asking about the client's specific concerns.

D. Summarizing involves reviewing and organizing information, which is not happening here.

A. Refrains from touching the patient under any circumstance. B. Requests that the patient wait to ask questions until the end of the home visit. C. Expects the patient to meet the goals for exercise as determined by the nurse. D. Learns the names of the patient's family members and close friends and neighbors. E. Listens to the patient describe the feelings of anxiety related to severe dyspnea.

Correct Answer is ["D","E"]

Explanation

A. Refraining from touching the patient under any circumstance can prevent the development of a therapeutic relationship.

B. Requesting that questions be saved until the end of the visit can be dismissive and hinder effective communication and bonding.

C. Expecting the patient to meet goals determined solely by the nurse shows a lack of collaboration and does not support a bond.

D. Learning the names of family members and friends shows genuine interest in the patient's life and helps build a relationship.

E. Listening to the patient's feelings and concerns demonstrates empathy and validation of the patient’s experiences, which are essential for bonding.

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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

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Correct Answer is C

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.