The nurse notices that a client is wearing a hearing aid and does not respond to answers promptly. Which action should the nurse take to conduct the interview?

Determine the preferred communication methods with the client.

Put a table between the nurse and the client to take notes.

Ask the client if they can bring a family member to the next visit

Sit in a chair to the side of the client.

Answer and Explanation

The Correct Answer is A

A. Determine the preferred communication methods with the client: Identifying the client’s preferred methods, such as speaking clearly, using written notes, or adjusting hearing aids, ensures effective communication. This approach promotes accurate information gathering and client engagement during the interview.

B. Put a table between the nurse and the client to take notes: Placing a physical barrier can impede visual and auditory communication cues. Effective communication requires clear sightlines and direct interaction rather than obstacles that may hinder understanding.

C. Ask the client if they can bring a family member to the next visit: While family support can help with communication, the immediate priority is to establish effective communication directly with the client during the current interview, respecting their independence and privacy.

D. Sit in a chair to the side of the client: Sitting to the side may make it difficult for the client to see facial expressions and lip movements, which are important for clients with hearing impairments. Facing the client directly is more effective for clear communication.

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Correct Answer is D

Explanation

A. Subjective: "The client seems happy today." Objective: "Vital signs within normal limits.": The subjective statement is based on the nurse’s interpretation rather than the client’s own report, making it less accurate. Objective data is appropriate, but the subjective portion is not precise.

B. Assessment: "Client is anxious." Plan: "Give client medication as needed.": The assessment labels the client’s emotional state without including supporting data, which is not consistent with SOAP note standards that require evidence-based observations.

C. Assessment: "Client is noncompliant with medications." Plan: "Assess for medication side effects.": Labeling the client as noncompliant is judgmental and does not reflect actual assessment data. Objective or subjective evidence supporting this statement is needed.

D. Subjective: "The client reports pain in the right leg." Objective: "Right leg appears swollen and red.": This example accurately differentiates subjective data (client’s own report) from objective data (observable and measurable findings), representing proper SOAP note documentation.

A. Both the bell and diaphragm are used interchangeably for all types of sounds and pitches B. The bell is used for high-pitched sounds, while the diaphragm is used for low-pitched sounds C. The diaphragm is used for high-pitched, like bowel sounds, while the bell is for low-pitched sounds D. The diaphragm is used for softer sounds, like a murmur, while the bell is used for louder sounds

Correct Answer is C

Explanation

A. Both the bell and diaphragm are used interchangeably for all types of sounds and pitches: The bell and diaphragm have distinct functions and are not interchangeable; each is designed to optimally detect specific sound frequencies.

B. The bell is used for high-pitched sounds, while the diaphragm is used for low-pitched sounds: This is incorrect; the bell is designed for low-pitched sounds, and the diaphragm is used for high-pitched sounds.

C. The diaphragm is used for high-pitched, like bowel sounds, while the bell is for low-pitched sounds: The diaphragm efficiently detects high-frequency sounds such as breath sounds, bowel sounds, and normal heart sounds, while the bell is more sensitive to low-frequency sounds like heart murmurs or bruits.

D. The diaphragm is used for softer sounds, like a murmur, while the bell is used for louder sounds: This reverses their functions; the bell is better suited for soft, low-pitched sounds, whereas the diaphragm captures louder, high-pitched sounds.

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The nurse notices that a client is wearing a hearing aid and does not respond to answers promptly. Which action should the nurse take to conduct the interview?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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