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 B

Explanation

A. This tests cranial nerve VIII (vestibulocochlear), not cranial nerve XI.
B. Moves the head and shoulders against resistance with equal strength. Cranial nerve XI (accessory nerve) innervates the sternocleidomastoid and trapezius muscles. The expected response would be equal strength when the patient moves their head and shoulders against resistance.
C. Follows an object with his or her eyes without nystagmus or strabismus. This describes the function of cranial nerve II (optic) or cranial nerve III (oculomotor), not cranial nerve XI.
D. Sticks out the tongue midline without tremors or deviation. This tests cranial nerve XII (hypoglossal), not cranial nerve XI.

A. 24 B. 12 C. 15 D. 6

Correct Answer is D

Explanation

A. A score of 24 would indicate a fully alert and responsive patient. The Glasgow Coma Scale ranges from 3 (deep coma) to 15 (fully awake).
B. A score of 12 indicates a moderate level of consciousness, not a coma.
C. A score of 15 indicates that the patient is fully conscious and alert.
D. A score of 6 indicates a coma and represents a very low level of consciousness, with minimal responses to stimuli.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is D

Explanation

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