Which strategy should a nurse include when communicating with a client who is blind?

Speak loudly since the client is unable to observe nonverbal cues.

Touch the client prior to speaking to gain the client’s attention.

Orient the client to the arrangement of the room to promote independence.

Keep the bed in the highest position to prevent the client from getting out of bed alone.

Answer and Explanation

The Correct Answer is C

Orient the client to the arrangement of the room to promote independence. This strategy helps the client who is blind to navigate the environment safely and confidently. It also shows respect for the client’s autonomy and dignity.

Choice A is wrong because speaking loudly is not necessary for a client who is blind, unless they also have hearing impairment. Speaking loudly may imply that the client is less intelligent or capable, which is not true.

Choice B is wrong because touching the client prior to speaking may startle or frighten them. It is better to identify oneself verbally and ask for permission before touching the client.

Choice D is wrong because keeping the bed in the highest position may increase the risk of injury if the client tries to get out of bed alone. It also restricts the client’s mobility and independence, which may affect their self-esteem and quality of life.

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Correct Answer is A

Explanation

Schizophrenia is a disorder that has genetic risk factors, but is not caused by a single gene. The risk of developing schizophrenia is higher if you have a close relative with the disorder, but it is not certain. The risk varies depending on the degree of relatedness and the number of genes involved. The heritability of schizophrenia, which measures how much of the risk is due to genetic factors, is estimated to be between 60% to 80%.

Choice B is wrong because it exaggerates the risk of schizophrenia for children of affected parents. The risk is about 10%, not 10 times more than the general public.

Choice C is wrong because it gives a false and misleading statistic.

There is no 50% chance that a child will be born with schizophrenia, and there is no evidence that crowded places and high anxiety situations can cause the disorder.

Choice D is wrong because it is based on false and outdated stereotypes. Females with schizophrenia are not infertile and can carry a full-term pregnancy, but most of the people who are affected are male.

A. “Older adults often fear becoming addicted to pain medications.”. B. “Older adults often take numerous drugs which can cause interactions with pain medications.”. C. “Confusion and delirium can be a more common reaction to certain pain medications in the elderly.”. D. “Older adults tolerate the same dosage as do younger individuals.”.

Correct Answer is ["D"]

Explanation

Older adults do not have a different pain mechanism and do not feel it as much as younger individuals. This statement is false and indicates the need for further education regarding pain management in older adults.

Some possible explanations for the other choices are:

Choice A is true because older adults often fear becoming addicted to pain medications and may underreport or deny their pain.

Choice B is true because older adults often take numerous drugs that can cause interactions with pain medications and increase the risk of adverse effects.

Choice C is true because confusion and delirium can be a more common reaction to certain pain medications in the elderly, especially opioids and benzodiazepines.

Normal ranges for vital signs in older adults are similar to those in younger adults, except for blood pressure, which may be higher due to arterial stiffness. The normal range for blood pressure in older adults is 120/80 to 140/90 mm Hg.

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Which strategy should a nurse include when communicating with a client who is blind?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client newly diagnosed with schizophrenia asks the nurse “Will I pass this disease on to my children?” What is the best response?

Correct Answer is A

Explanation

Which statement by the student nurse indicates the need for further education regarding pain management in older adults? (Select all that apply).

Correct Answer is ["D"]

Explanation

Which intervention should the nurse include while caring for a client who has been diaphoretic for the past six hours?

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