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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

The correct answer is choice D, alternating waves of air stimulate breathing. CPAP works by delivering a continuous stream of pressurized air through a mask, which is worn over the nose or nose and mouth while sleeping. This air pressure acts like a splint, holding the airway open and preventing it from collapsing during sleep. The alternating waves of air delivered by the CPAP machine help stimulate breathing, keeping the airway open and reducing the number of breathing pauses that occur during sleep. CPAP is a highly effective treatment for obstructive sleep apnea, a condition in which the airway becomes blocked during sleep, leading to breathing pauses and interrupted sleep. By keeping the airway open and stimulating breathing, CPAP helps to improve sleep quality, reduce daytime sleepiness, and improve overall health outcomes in people with sleep apnea.

A. "Do you think you will be able to eat the food we have here?" B. "What types of food do you eat for meals?" C. "Do you understand we can't prepare special meals?" D. "Why can't you just eat our food while you are here?"

Correct Answer is B

Explanation

The correct answer is choice B. When interviewing a newly admitted patient, the nurse can best exhibit cultural competence by asking open-ended questions that show an interest in and respect for the patient's cultural background. The question "What types of food do you eat for meals?" (choice B) is an open-ended question that allows the patient to provide information about their cultural food preferences and dietary needs. By asking this question, the nurse can gain insight into the patient's cultural background and develop a plan of care that is respectful of their cultural beliefs and practices.

In contrast, the questions "Do you think you will be able to eat the food we have here?" (choice A) and "Do you understand we can't prepare special meals?" (choice C) may be perceived as insensitive or dismissive of the patient's cultural background. These questions do not take into account the patient's cultural preferences and needs, and may make the patient feel marginalized or disrespected. The question "Why can't you just eat our food while you are here?" (choice D) is confrontational and may be perceived as judgmental or dismissive of the patient's needs. Therefore, the best question to exhibit cultural competence when interviewing a newly admitted patient is an open-ended question that shows an interest in and respect for the patient's cultural background, such as "What types of food do you eat for meals?" (choice B).

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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?

Nursing Test Bank

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Correct Answer is D

Explanation

A nurse is interviewing a newly admitted patient. What question would best exhibit cultural competence?

Correct Answer is B

Explanation

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