A resident of a long-term care facility has moderate hearing loss and is hard of hearing. When communicating with this resident, which of the following would be the best initial technique?
Use only written communication whenever possible to minimize the client's frustration.
Minimize background noises such as the television and ensure that lighting is adequate to see the nurse's face.
Use vocabulary and concepts that are as simple as possible.
Repeat each direction or question multiple times, even if the client states he heard and understands the directions.
The Correct Answer is B
A. Use only written communication whenever possible to minimize the client's frustration. Written communication can be helpful in some situations, but it should not be the primary mode of communication for clients with moderate hearing loss unless necessary.
B. Minimize background noises such as the television and ensure that lighting is adequate to see the nurse's face. Reducing background noise and ensuring proper lighting are critical strategies for effective communication with individuals with hearing loss. These steps make it easier for the resident to hear and understand, and they also allow the resident to use visual cues, such as lip-reading, to enhance communication.
C. Use vocabulary and concepts that are as simple as possible.
While simplifying vocabulary may help some individuals, it is not necessary or beneficial for all residents with hearing loss. This could come across as condescending unless it aligns with the client’s cognitive ability.
D. Repeat each direction or question multiple times, even if the client states he heard and understands the directions: Repeating unnecessarily can be frustrating and counterproductive for the client. It is more effective to ensure the initial communication is clear and check for understanding without excessive repetition unless the resident indicates they need clarification.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["333"]
Explanation
To calculate the infusion rate, we need to divide the total volume to be infused by the total time of infusion and then multiply by 60 to convert to mL/h:
1000 mL ÷ 3 hours = 333.33 mL/h
Rounding to the nearest whole number, the IV pump should be programmed for 333 mL/h.
Correct Answer is A
Explanation
The correct answer is choice A. After inserting the catheter 2-5 cm, the nurse should then inflate the balloon. It is important to confirm urine return before inflating the balloon to ensure that the catheter is in the correct position and has not entered the bladder neck or prostate. Inflating the balloon before confirming urine return can cause trauma and increase the risk of infection. Option B is incorrect because inflating the balloon too early can cause discomfort, trauma and increase the risk of infection. Option C is incorrect because advancing the catheter too far can cause injury to the bladder or ureters. Option D is incorrect because pulling back the catheter after meeting resistance can also cause trauma to the urethra.
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