A nurse is communicating with a client who has a hearing impairment. Which of the following actions should the nurse take to facilitate effective communication?

Speak loudly and slowly.

Face the client directly and maintain eye contact.

Use gestures and facial expressions to emphasize key points.

Repeat the same information using different words if the client does not understand.

Answer and Explanation

The Correct Answer is B

Correct answer: B) Face the client directly and maintain eye contact.

Rationale: The nurse should face the client directly and maintain eye contact when communicating with a client who has a hearing impairment, as this allows the client to read the nurse's lips and observe nonverbal cues. The nurse should also speak clearly and at a normal pace, and avoid covering the mouth or chewing gum.

Incorrect options:

A) Speak loudly and slowly. - This is an incorrect action, as speaking loudly and slowly can distort the sound and make it harder for the client to understand. It can also be perceived as patronizing or disrespectful by the client.

C) Use gestures and facial expressions to emphasize key points. - This is an incorrect action, as gestures and facial expressions can be ambiguous or misleading, and may not convey the intended message. The nurse should use simple and concrete language, and avoid using idioms, slang, or jargon.

D) Repeat the same information using different words if the client does not understand. - This is an incorrect action, as repeating the same information using different words can confuse the client and increase frustration. The nurse should ask the client to repeat back what they understood, and clarify any misunderstandings.

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Correct Answer is B

Explanation

Correct answer: B) Use a professional interpreter if available.

Rationale: The nurse should use a professional interpreter if available when communicating with a client who speaks a different language or has limited English proficiency, as this ensures accurate and culturally sensitive communication. The interpreter should be trained in medical terminology and confidentiality, and should not be a family member or friend of the client.

Incorrect options:

A) Ask the client to speak slower and louder. - This is an incorrect action, as asking the client to speak slower and louder can be perceived as rude or disrespectful by the client. It can also increase anxiety and stress for both parties, and impair communication.

C) Avoid asking questions that require more than a yes or no answer. - This is an incorrect action, as avoiding questions that require more than a yes or no answer can limit the amount of information obtained from the client, and prevent the nurse from assessing the client's needs, preferences, and concerns. The nurse should ask open-ended questions that encourage elaboration, clarification, and feedback from the client.

D) Assume that the client understands everything the nurse says. - This is an incorrect action, as assuming that the client understands everything the nurse says can lead to miscommunication, errors, and adverse outcomes. The nurse should verify the client's understanding by asking them to repeat back or demonstrate what they learned, and provide written materials in their preferred language if possible.

A. Provide factual information about the client's condition and prognosis. B. Encourage the family members to express their emotions and offer support. C. Suggest coping strategies and resources for the family members to deal with their grief. D. All of the above.

Correct Answer is D

Explanation

Correct answer: D) All of the above.

Rationale: The nurse should take all of the above actions to communicate effectively with the family

members of a client who has terminal cancer and is receiving palliative care, as this demonstrates

respect, empathy, and compassion. The nurse should provide factual information about the client's

condition and prognosis, using clear and simple language, and avoiding false reassurance or giving

unrealistic hope. The nurse should encourage the family members to express their emotions and offer

support, using active listening skills, such as nodding, paraphrasing, reflecting, and summarizing. The

nurse should also suggest coping strategies and resources for the family members to deal with their

grief, such as counseling, support groups, spiritual care, or hospice services.

Incorrect options:

None.

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A nurse is communicating with a client who has a hearing impairment. Which of the following actions should the nurse take to facilitate effective communication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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A nurse is communicating with a client who has a hearing impairment. Which of the following actions should the nurse take to facilitate effective communication?