A nurse is interviewing a male client who has a hearing impairment. What techniques would be most beneficial in communicating with this client?

Request a sign language interpreter before meeting the client

Determine the communication method that he prefers

Speak loudly and exaggerate facial movement when talking with him

Avoid using facial and hand gestures because its degrading

Answer and Explanation

The Correct Answer is B

A.   While this is useful for clients who know sign language, it's important to first determine the communication method that the client prefers.
B.   Each client may have different preferences or needs when it comes to communication, so it’s important to assess their preferred method before taking any further steps.
C.   Speaking loudly is not effective and can distort words for those with hearing impairments. The focus should be on clear communication, such as lip-reading or using writing.
D.   Facial and hand gestures can be helpful for communication, especially for individuals with hearing impairments. Avoiding them is unnecessary and could hinder understanding.

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Correct Answer is C

Explanation

A. This term refers to the inability to recognize stimuli presented to both sides of the body simultaneously, often seen in cases of neurologic damage.
B. This refers to the ability to differentiate between various sensations, but it is not the specific term for identifying objects by touch.
C. This is the correct term for the ability to recognize objects through touch alone. The nurse would describe the client's ability to identify the key as stereognosis.
D. This refers to the ability to recognize letters or numbers written on the skin, typically with a fingertip, not the identification of a physical object.

A. Press above and below the cheek bones. B. Apply pressure anteriorly to the tragus. C. Ask if the client has a history of headaches. D. Ask if the client has a history of sinus infections.

Correct Answer is A

Explanation

A. To assess the maxillary sinuses, the nurse should apply gentle pressure to the area above and below the cheekbones, as this is where the maxillary sinuses are located.
B. The tragus is part of the ear and not relevant to the assessment of the maxillary sinuses. Pressure in this area would not be helpful for evaluating sinus health.
C. While a history of headaches may be relevant to sinus issues, it is not a direct physical assessment of the maxillary sinuses.
D. Ask if the client has a history of sinus infections. While a history of sinus infections is useful, it does not replace the physical assessment of the maxillary sinuses.

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A nurse is interviewing a male client who has a hearing impairment. What techniques would be most beneficial in communicating with this client?

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A nurse is interviewing a male client who has a hearing impairment. What techniques would be most beneficial in communicating with this client?