A nurse is caring for a patient who has impaired speech.
Which of the following actions should the nurse take?

Allow extra time to communicate with the patient.

Finish sentences for the patient.

Ask open-ended Questions.

Avoid using visual aids for communication.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Allowing extra time to communicate with the patient is a crucial action when caring for a patient with impaired speech. This approach respects the patient’s autonomy and ensures that they have the time they need to express themselves.
Choice B rationale
Finishing sentences for the patient can be seen as disrespectful and may lead to frustration. It’s important to allow the patient to communicate at their own pace.
Choice C rationale
While open-ended questions can be useful in some situations, they may be challenging for a patient with impaired speech. It might be more effective to ask yes/no questions or use other communication aids.
Choice D rationale
Visual aids can be very helpful for patients with speech impairments. They can supplement verbal communication and make it easier for the patient to understand and be understood.

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Correct Answer is C

Explanation

Choice A rationale
Checking the patient’s visual acuity using a Snellen chart is used to assess cranial nerve II (Optic), not cranial nerve XI (Spinal Accessory)3.
Choice B rationale
Whispering in one of the patient’s ears while blocking the other is a method used to assess cranial nerve VIII (Vestibulocochlear), not cranial nerve XI4.
Choice C rationale
Observing the patient’s ability to turn their head from side to side is a correct method to assess cranial nerve XI. This nerve innervates the sternocleidomastoid and trapezius muscles, which are responsible for turning the head and shrugging the shoulders respectively.
Choice D rationale
Asking the patient to identify specific smells is used to assess cranial nerve I (Olfactory), not cranial nerve XI3.

A. “How about we make a compromise and I can get you some strawberries instead.”. B. “I’m sorry, but you must stick to your dietary restrictions so that you can get better faster.”. C. “I love strawberry ice cream too, how about I get the both of us some?” D. “Why don’t we talk about treatment first?” E. Skeletal muscles do not enable the bronchioles to dilate in the lungs. The dilation and constriction of the bronchioles are controlled by the autonomic nervous system and the smooth muscles in the walls of the bronchioles.

Correct Answer is A

Explanation

Choice A rationale
This response shows empathy and understanding towards the patient’s situation. It acknowledges the patient’s craving for strawberry ice cream and offers a compromise that aligns with the patient’s dietary restrictions.
Choice B rationale
This response may come across as insensitive and dismissive of the patient’s feelings. It’s important to show empathy and understanding when dealing with patients, especially those in hospice care.
Choice C rationale
This response may not be appropriate as it does not consider the patient’s dietary restrictions. While it shows empathy, it’s important to respect and adhere to the patient’s dietary needs.
Choice D rationale
This response may not be appropriate as it does not address the patient’s statement. It’s important to acknowledge and respond to the patient’s feelings and concerns.

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A nurse is caring for a patient who has impaired speech. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is getting ready to conduct a cranial nerve examination on a patient. What steps should the nurse take to examine cranial nerve XI (Spinal Accessory)?

Correct Answer is C

Explanation

During a home visit to a hospice patient, the patient states, “I used to love eating strawberry ice cream, but with the dietary restrictions of my condition, I have not been able to have ice cream in years.”. How should the nurse respond?

Correct Answer is A

Explanation

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A nurse is caring for a patient who has impaired speech.
Which of the following actions should the nurse take?