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A nurse is preparing a poster presentation for a group of staff nurses about factors influencing communication. Which of the following factors should the nurse include when discussing cognitive factors?

Vision loss

Excessive environmental noise

Autism spectrum disorder

Hearing loss

Answer and Explanation

The Correct Answer is C

A. Vision loss affects sensory input but is not specifically a cognitive factor.

B. Excessive environmental noise affects communication but is an environmental factor rather than a cognitive factor.

C. Autism spectrum disorder is a cognitive factor that affects communication styles and needs.

D. Hearing loss affects sensory input but is not a cognitive factor.

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Correct Answer is A

Explanation

A. This statement is aggressive and threatening.

B. This statement expresses concern but is not aggressive.

C. This statement is a request for reconsideration based on past experience but is not aggressive.

D. This statement shows understanding and willingness to follow the schedule, demonstrating assertiveness.

A. Client's hearing deficit B. Volume of the client's television C. Numerous visitors in the client's room D. Increase in pain after ambulation Adverse effects of opioid analgesic E. Using earphones while listening to music F. Using earphones while listening to music

Correct Answer is ["A","B","E","F"]

Explanation

A. Client's hearing deficit
Effective communication relies on the ability to hear and understand spoken messages. The client's hearing deficit impedes this process, making it difficult for the nurse to convey important information or assess the client’s needs.
B. Volume of the client's television
High TV volume can distract the client and make it hard for them to focus on or hear the nurse’s questions or instructions, thus impeding effective communication.
C. Numerous visitors in the client's room
The presence of visitors might affect communication, but based on the provided notes, it is not specifically identified as a current barrier.
D. Increase in pain after ambulation
Pain is a concern but does not directly interfere with the process of communication as long as it is managed appropriately.
E. Adverse effects of opioid analgesic
The client’s report of feeling “very sleepy” indicates that the opioid analgesic may be affecting their alertness and responsiveness, thus impeding effective communication.

F. Using earphones while listening to music
Earphones block out external sounds, including the nurse’s attempts to communicate, making it difficult for the client to hear or engage in a conversation.

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A nurse is preparing a poster presentation for a group of staff nurses about factors influencing communication. Which of the following factors should the nurse include when discussing cognitive factors?

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