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 B

Explanation

A. This response dismisses the patient’s feelings and interprets their statement in a negative way.

B. This response acknowledges the patient’s feelings and shows empathy, which is a warm and assertive way to address their concerns.

C. Suggesting that the patient see a different doctor is premature and does not address the patient’s current feelings.

D. Telling the patient it is wrong to blame the doctor is judgmental and dismissive of their feelings.

A. "I decline the opportunity at this time." B. "It's just not the right time for me to do this." C. "Everyone knows there are others who can chair this committee better than me." D. "Can you tell me why you chose me?"

Correct Answer is A

Explanation

A. This statement is clear, direct, and assertive.

B. This statement is somewhat assertive but less direct.

C. This statement deflects responsibility and undermines the nurse's own abilities.

D. This statement does not directly decline the offer and shifts the focus to the reason for selection.

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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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Explanation

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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.