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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Discuss with the client their risk factors for developing CAD: Family history is a significant non-modifiable risk factor for coronary artery disease. Educating the client about their personal risk helps raise awareness and supports prevention strategies tailored to their needs.
B. Have the client start exercising for at least 30 minutes a day: While exercise is important for cardiovascular health, recommending a specific regimen without first assessing the client’s overall health, readiness, and risk factors may be unsafe.
C. Encourage the client to attend a support group for CAD: Support groups can be beneficial for individuals already diagnosed with CAD, but the client in this scenario has a family history and may not need immediate support group involvement.
D. Instruct the client to begin following a heart-healthy diet: Diet modification is an effective preventive measure, but it should be introduced as part of a broader discussion on risk factors and individualized planning rather than as an immediate directive.
Correct Answer is B
Explanation
A. Identify the needed nursing actions to address the client's health problem: Planning and determining interventions occur in the planning phase, not during assessment. Assessment focuses on data collection rather than action implementation.
B. Interview the client about current and past health history: Collecting subjective and objective information through interviews, observation, and examination is the core of the assessment phase. This information forms the foundation for identifying problems and planning care.
C. Measure the success of the care goals: Evaluating whether goals have been met is part of the evaluation phase. It occurs after interventions have been implemented and outcomes are assessed.
D. Develop the expected outcome with the client: Establishing expected outcomes is part of the planning phase. It follows assessment and involves collaboration with the client to determine realistic and measurable goals.
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