What action should the nurse take first when communicating with a client with hearing impairment?
Minimize environmental distractions
Speak loudly to ensure the client hears the message
Use written communication exclusively
Ensure the client’s hearing aids are in place and functioning
The Correct Answer is D
Choice A reason: Minimizing distractions is helpful for communication but is not the first priority. If hearing aids are not functioning, reducing distractions will not resolve the underlying barrier to communication.
Choice B reason: Speaking loudly may distort sound and make comprehension more difficult. Loud speech can also be perceived as disrespectful. Effective communication requires clarity, not volume.
Choice C reason: Written communication can supplement verbal interaction but should not replace it entirely. It is not the first step because ensuring hearing aids are working allows the client to participate in verbal communication.
Choice D reason: Confirming that hearing aids are in place and functioning addresses the primary barrier to communication. This ensures that the client can hear and engage effectively. It is the most immediate and foundational step before other strategies are applied.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Ongoing training is part of the moving stage, where staff learn and adapt to the new system. It is not the initial step in overcoming resistance.
Choice B reason: Establishing the system as standard practice occurs during the refreezing stage, where the change is solidified and becomes routine.
Choice C reason: Educating staff about the benefits addresses resistance by creating motivation and readiness for change. This is the essence of the unfreezing stage, where staff must understand why the change is necessary and how it will improve practice.
Choice D reason: Introducing penalties may increase compliance but fosters resentment and resistance. It does not align with the principles of unfreezing, which focus on motivation and acceptance.
Correct Answer is A
Explanation
Choice A reason: Translational research bridges the gap between scientific discoveries and bedside care. Its purpose is to take findings from laboratory or theoretical research and apply them in clinical settings to improve patient outcomes. This ensures that evidence-based practice is grounded in current scientific knowledge.
Choice B reason: Evaluating the effectiveness of nursing interventions is part of clinical research and quality improvement, not translational research. While important, it does not capture the essence of translating findings into practice.
Choice C reason: Patient preferences and values are central to evidence-based practice but are emphasized in shared decision-making models rather than translational research. Translational research focuses on moving scientific evidence into real-world application.
Choice D reason: Generating new knowledge through experiments is the role of basic or clinical research. Translational research instead applies existing knowledge to practice rather than creating new theories
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