A nurse is caring for a patient with moderate vision impairment.
What actions should the nurse take?

Open shades on windows in the patient’s room to provide direct lighting.

Face the patient when speaking to them.

Use gestures to communicate with the patient.

Speak loudly when talking to the patient.

Answer and explanation The

Answer and Explanation

The Correct Answer is B

Choice A rationale
While adequate lighting is important for people with vision impairment, direct lighting from open window shades can create glare, which can make vision problems worse.
Choice B rationale
Facing the patient when speaking to them can help the patient use visual cues to better understand the conversation.
Choice C rationale
Using gestures can be helpful for some patients with vision impairment, but it may not be beneficial for a patient with moderate vision impairment who may not be able to see the gestures clearly.
Choice D rationale
Speaking loudly is not necessary for a patient with vision impairment unless they also have a hearing impairment.

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Correct Answer is A

Explanation

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.

A. “This treatment should help me live a little longer and give me hope for a cure.”. B. “I will continue my strict dietary plan.”. C. “I am hoping this will limit my discomfort and give me the best quality of life for me.”. D. “This is not working and I plan to stop treatment.”.

Correct Answer is C

Explanation

Choice A rationale
While palliative care can indeed help improve a patient’s quality of life, it is not typically aimed at curing the disease or significantly prolonging life. Instead, the focus is on managing symptoms and improving comfort. Therefore, the statement “This treatment should help me live a little longer and give me hope for a cure” does not accurately reflect the goals of palliative care.
Choice B rationale
The statement “I will continue my strict dietary plan” does not necessarily indicate an understanding of palliative care. While maintaining good nutrition can be an important part of managing some conditions, palliative care is more focused on symptom management and improving quality of life. Strict dietary restrictions may not be necessary or beneficial in a palliative care context.
Choice C rationale
The statement “I am hoping this will limit my discomfort and give me the best quality of life for me” accurately reflects the goals of palliative care. Palliative care aims to manage symptoms, including pain and discomfort, and to improve the patient’s quality of life.
Choice D rationale
The statement “This is not working and I plan to stop treatment” does not necessarily reflect an understanding of palliative care. While a patient has the right to stop treatment at any time, this decision should be based on a thorough understanding of their condition and the potential benefits and drawbacks of continuing or discontinuing treatment.

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A nurse is caring for a patient with moderate vision impairment. What actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

A nurse is caring for a patient who has cancer and is receiving palliative care. Which of the following statements by the patient indicates an understanding of this type of treatment?

Correct Answer is C

Explanation

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A nurse is caring for a patient with moderate vision impairment.
What actions should the nurse take?