A nurse is making a home care visit to a client with a hearing deficit.
What is the best thing she can do to facilitate communication with the client?
Use written communication rather than verbal communication.
Reduce the time spent with the client to decrease frustration.
Talk in a loud tone of voice at all times during the visit.
Ask for permission to turn off the television set during the visit.
The Correct Answer is D
Choice A rationale
Relying solely on written communication can be time-consuming and may not be suitable for all situations or for clients with low literacy. While it can be a useful adjunct, it shouldn't replace verbal communication entirely.
Choice B rationale
Reducing time spent with the client can hinder effective communication and relationship building. It doesn't address the communication barrier and may leave the client feeling unheard and uncared for.
Choice C rationale
Speaking loudly can distort sounds and make it harder for someone with a hearing deficit to understand. It can also be perceived as disrespectful or condescending. The approach should focus on clarity, not volume.
Choice D rationale
Background noise, such as a television, can significantly interfere with a hearing-impaired person's ability to understand speech. Reducing or eliminating such distractions creates a clearer auditory environment, facilitating better comprehension of verbal communication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Infants are at the highest risk for fluid and electrolyte imbalance due to diarrhea because they have a higher percentage of body water compared to adults, and a larger proportion of this water is extracellular. Their kidneys are also immature and less efficient at regulating fluid and electrolytes. Additionally, their higher metabolic rate and greater body surface area to weight ratio lead to increased insensible fluid losses.
Choice B rationale
Adolescents have a body composition and physiological regulatory mechanisms that are more similar to adults, making them less vulnerable to rapid fluid and electrolyte shifts from diarrhea compared to infants. Their kidneys are fully developed and can manage fluid and electrolyte balance more effectively.
Choice C rationale
Young adults also have well-developed regulatory mechanisms and a lower proportion of extracellular fluid compared to infants. While prolonged diarrhea can still lead to imbalances, they are generally more resilient than infants due to their mature physiology.
Choice D rationale
School-age children have a body composition and physiological maturity that places them at a lower risk for severe fluid and electrolyte imbalance from diarrhea compared to infants. Their regulatory systems are more developed than those of infants, allowing for better compensation for fluid losses. .
Correct Answer is A
Explanation
Choice A rationale
Self-evaluation skills involve the ability to reflect on one's performance, acknowledge strengths, and identify areas for improvement based on feedback. The graduate nurse's act of reflecting on the positive and negative feedback received from the nurse manager directly demonstrates self-evaluation.
Choice B rationale
Communication skills involve the ability to convey information effectively and respectfully. While the initial meeting with the manager likely involved communication, the scenario focuses on the nurse's internal reflection afterward, not the interaction itself.
Choice C rationale
Interpersonal skills relate to how a nurse interacts with others, building rapport and working collaboratively. The scenario doesn't provide information about the nurse's interactions with colleagues or patients, but rather her individual reflection.
Choice D rationale
Problem-solving skills involve identifying issues and finding solutions. The scenario doesn't describe a problem the nurse is actively trying to resolve, but rather her processing of feedback on her past performance. .
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