A nurse is communicating with an aphasic patient. The nurse should.
use open ended questions
not assume that the patient can understand what is heard
talk to the family instead
ask one question at a time
The Correct Answer is D
A. Use open-ended questions:
Open-ended questions are typically avoided when communicating with aphasic patients. These questions require more complex responses, which might be difficult for someone with language impairments.
B. Not assume that the patient can understand what is heard:
This is a prudent approach. Assuming comprehension without confirmation can lead to misunderstandings. It's better to confirm understanding through non-verbal cues or other communication methods.
C. Talk to the family instead:
While involving family members is important, it doesn't replace direct communication with the patient. The nurse should attempt to communicate directly with the patient, using appropriate techniques.
D. Ask one question at a time:
This is the most suitable option. Asking one question at a time allows the patient to focus on a specific topic and respond more effectively, especially if they have difficulty processing complex information.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Maslow's hierarchy of needs:
This statement is true. Prioritizing patient problems is often based on Maslow's hierarchy of needs, which categorizes human needs from basic physiological requirements to higher-level psychological needs. Patients' immediate and essential needs, such as airway, breathing, and circulation, are prioritized over other needs based on this framework.
B. The nurse-to-nurse report:
This statement is incorrect. Nurse-to-nurse report is essential for continuity of care, but it is not the basis for prioritizing patient problems. Prioritization is based on the patient's immediate needs and safety concerns.
C. Nonspecific data collection:
This statement is incorrect. Prioritization is based on specific data collected during the assessment, including physiological measurements, symptoms, and patient history. Nonspecific data collection wouldn't provide the necessary information for effective prioritization.
D. Managerial influence:
This statement is incorrect. While managers might provide guidelines and policies, the direct care nurse at the bedside typically prioritizes patient problems based on clinical judgment, immediate needs, and the nursing process.
Correct Answer is D
Explanation
A. Comprehensive plan to allow patient access to medical records.
While electronic medical records (EMRs) do facilitate patient access to their medical information, the primary goal of the 2009 American Recovery and Reinvestment Act was broader. It aimed to improve healthcare quality, safety, and efficiency through the promotion of health IT, including EMRs.
B. Comprehensive document of health care costs.
Although EMRs can include billing information, the main purpose of EMRs is to record clinical data for patient care and not specifically to document healthcare costs.
C. Comprehensive plan of care for all patients.
EMRs are tools used by healthcare providers to record patient information and manage healthcare delivery. While they can support the creation and management of care plans, their primary function is to store patient data electronically rather than generating care plans.
D. Correct comprehensive record of a patient's history and care across all facilities and admissions.
This statement best reflects the primary goal of the electronic medical record implementation. EMRs are designed to provide accurate, comprehensive, and up-to-date information about a patient's medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory test results, among other essential data. They ensure that this information is accessible to authorized healthcare providers across various facilities and admissions, improving continuity of care and patient safety.
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