The nurse is updating a patient care policy based on current literature. Which action by the nurse ensures that the best available evidence is being used to update the policy?

A. Ethics is a core competency in IPE, focusing on understanding and respecting professional roles and responsibilities.

B. Curriculum Development is not one of the core competencies for IPE.

C. Shared Responsibility is a key competency in IPE, emphasizing collaborative roles in patient care.

D. Communication is a fundamental IPE competency for effective teamwork and collaboration among professionals.

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.