An 84-year-old cognitively-impaired gentleman is admitted from a skilled nursing facility to your acute care facility for increasing agitation and combativeness in the last few days. Which of the following is an example of effective communication with this client?

Speak loudly and use simple words

Address the client by name and reorient client

Challenge the client to refocus his attention when he becomes agitated

Ask the client a series of questions without allowing time for the client to answer

Answer and Explanation

The Correct Answer is B

A. Speak loudly and use simple words: Speaking loudly may be perceived as shouting and can increase agitation. Using simple words is appropriate, but volume should be normal and calm.
B. Address the client by name and reorient client: Addressing the client by name and reorienting him is effective because it respects his dignity and helps him understand his current situation, reducing confusion and agitation. This approach is clear, respectful, and supportive.
C. Challenge the client to refocus his attention when he becomes agitated: Challenging the client can be confrontational and may escalate agitation. It is better to use a calm, reassuring approach.
D. Ask the client a series of questions without allowing time for the client to answer: This can overwhelm and frustrate the client, leading to increased agitation.

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Correct Answer is C

Explanation

A. Cognitive: The cognitive domain involves knowledge and understanding, but readiness for learning pertains more to the affective domain.
B. Psychomotor: The psychomotor domain involves physical skills and coordination, not the client's readiness for learning.
C. Affective: The affective domain involves attitudes, feelings, and readiness to learn. The client's statement of readiness indicates a positive attitude and willingness to engage in learning.
D. Social: Social is not one of the primary learning domains recognized in education theory.

A. Right Task B. Right communication C. Right supervision D. Right circumstance

Correct Answer is C

Explanation

A. Right Task: The right task refers to ensuring the task is appropriate to delegate. This situation is more about monitoring the task.
B. Right Communication: The right communication involves clear, concise instructions. This scenario involves oversight rather than instruction.
C. Right Supervision: Right supervision involves monitoring the task and providing guidance and feedback. Observing the UAP and ensuring the correct cuff size is being used demonstrates appropriate supervision.
D. Right Circumstance: The right circumstance refers to ensuring the client’s condition is appropriate for delegation. This situation is about supervising the task.

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An 84-year-old cognitively-impaired gentleman is admitted from a skilled nursing facility to your acute care facility for increasing agitation and combativeness in the last few days. Which of the following is an example of effective communication with this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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