A nurse is discussing effective communication techniques for a client who has visual impairment with a newly licensed nurse. Which of the following statements by the nurse indicates an understanding of the teaching?
"I will use a communication board to assess the client's needs."
“I will collaborate with a speech therapist about the client's plan of care."
"I will use indirect lighting in the client's room."
“I will use a loud tone of voice when speaking with the client.”
None
None
The Correct Answer is A
A. "I will use a communication board to assess the client's needs." This demonstrates appropriate use of assistive tools tailored for individuals with visual impairments. Communication boards can include tactile or auditory features, allowing clients to express needs effectively without relying on vision.
B. “I will collaborate with a speech therapist about the client's plan of care." While speech therapy may be helpful in some situations, it is not directly related to communication strategies for a client with visual impairment unless there is a concurrent speech or language issue.
C. "I will use indirect lighting in the client's room." Indirect lighting can reduce glare, which may help clients with partial vision, but this action does not address communication needs or strategies specific to visual impairment.
D. “I will use a loud tone of voice when speaking with the client.” Clients with visual impairments do not necessarily have hearing impairments. Raising the voice unnecessarily can be perceived as patronizing or inappropriate unless hearing loss is also present.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D,A,B,C
Explanation
D. Transport the client to another area of the nursing unit. The first priority is rescue ensuring the client’s safety by removing them from the immediate area of danger, which is consistent with the "RACE" fire safety protocol (Rescue, Alarm, Contain, Extinguish).
A. Activate the facility's fire alarm system. Once the client is safe, the next step is to activate the fire alarm to notify other staff and initiate emergency protocols throughout the facility.
B. Close all nearby windows and doors. Containing the fire by closing doors and windows limits the spread of smoke and flames, buying time for response teams to arrive and control the situation.
C. Use the unit's fire extinguisher to attempt to put out the fire. If it is safe and the fire is small and manageable, the final step is to extinguish the fire using a fire extinguisher, following appropriate safety procedures.
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"D"}
Explanation
- Dry skin and lips: This is a very common side effect of isotretinoin due to its drying effects on sebaceous glands. It is expected and manageable with regular moisturizing and is not considered an emergency.
- Increased appetite: Isotretinoin is not associated with increased appetite. Weight changes are not typical or concerning symptoms during therapy and do not warrant urgent provider notification.
- Depression: Isotretinoin has been associated with mood changes including depression, suicidal thoughts, and other psychiatric effects. These can emerge suddenly and must be reported immediately for prompt evaluation and intervention to ensure safety.
- Visual disturbances: Blurred vision or difficulty seeing, particularly at night, can indicate rare but serious complications such as increased intracranial pressure. Any change in vision during isotretinoin therapy requires immediate medical attention.
- Productive cough: This is not commonly linked with isotretinoin therapy. Unless respiratory symptoms worsen or are accompanied by fever or systemic signs, a productive cough alone is not a reason to stop treatment or alert the provider urgently.
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