Question 1

The nurse is caring for an older adult patient who has recently withdrawn from relationships, appears depressed, and appears reluctant to seek information from the nurse due to a hearing loss. What assessment should the nurse focus on to help minimize additional dysfunction?

Accepted Answer

A)   Willingness to seek help when needed.
B)   Tendency to hide hearing related deficits
C)   Alterations to personal conversational style.
D)   Impairment related to consonant discrimination.E) None of the above
F) C) and D) B

Question 2

When caring for a nonverbal patient, the nurse should implement what intervention to maintain communication?

Accepted Answer

A)   Insisting the patient communicate in a two-way mode.
B)   Continuing to initiate communication in a one-way mode.
C)   Refraining from explaining procedures to avoid stressing the patient.
D)   Limiting orienting cues in order to reduce environmental stimuli.E) All of the above
F) None of the above B

Question 3

A patient will which diagnosis will most benefit from the use of touch during a therapeutic encounter?

Accepted Answer

A)   Vision-impairment
B)   Moderate hearing loss
C)   Mentally illness
D)   SchizophreniaE) A) and C)
F) None of the above

Question 4

The nurse is caring for a patient who has experienced global aphasia secondary to a stroke. Which intervention is most appropriate for this patient?

Accepted Answer

A)   Refraining from exploiting any language skills that are preserved.
B)   Frequently reminding the patient they cannot be understood.
C)   Encouraging short, positive sessions that focus on communicate.
D)   Spending long periods of time talking with the patient to provide stimulation.E) A) and B)
F) None of the above

Question 5

When caring for a hearing-impaired patient, the nurse should implement what intervention to facilitate communication?

Accepted Answer

A)   Face the interpreter when speaking to the patient.
B)   Use gestures that reinforce verbal content.
C)   Speak distinctly while exaggerating words.
D)   Communicate in a dimly-lit room.E) A) and B)
F) A) and C)

Question 6

When attempting to communicate a procedure to a hearing-impaired patient, what strategy would not facilitate client understanding?

Accepted Answer

A)   Speaking distinctly but without exaggerating words.
B)   Attempting to use sign language.
C)   Using an assisted listening device.
D)   Explaining complex terms last.E) C) and D)
F) B) and C)

Question 7

When caring for the patient with macular degeneration, the nurse facilitates communication by implementing which action?

Accepted Answer

A)   Facing the patient directly.
B)   Standing to the patient's side.
C)   Speak distinctly while exaggerating words.
D)   Refrain from touching the patient.E) A) and B)
F) A) and C) B

Question 8

Which statement is true concerning communication deficits?

Accepted Answer

A)   Communication deficits occur primarily because of physical disabilities.
B)   Communication deficits can arise from sensory deprivation.
C)   Individuals who are equally impaired are equally disabled.
D)   The primary nursing goal is to minimize the patient's independence.E) A) and D)
F) A) and C)

Question 9

The nurse understands that as patients age, they are more likely to have vision problems that may interfere with the communication process, including the lens of the eyes becoming less flexible, making it difficult to accommodate shifts from far to near vision. The nurse recognizes that this condition is known by what term?

Accepted Answer

A)   Receptive aphasia.
B)   Autism.
C)   Presbycusis.
D)   Presbyopia.E) B) and D)
F) B) and C)

Question 10

The nurse is caring for a patient who is hearing-impaired and legally blind in the right eye and has just returned from cataract surgery on the left eye. The nurse recognizes that what statement is relevant to the patient's safety when being ambulated?

Accepted Answer

A)   The patient's arm should be held when walking to provide direction.
B)   Verbal speech is ineffective in this situation and should not be relied upon by the staff.
C)   Signals should be developed to indicate changes in pace or direction while walking.
D)   The patient should be discouraged from dependence on reading lips especially while ambulating.E) All of the above
F) None of the above

Question 11

The nurse while providing bedside care for an unconscious patient, is overheard stating, "I wouldn't want to live in this condition." What did this nurse not realize about the patient's capabilities?

Accepted Answer

A)   The patient has the right to respect regardless of condition.
B)   Hearing can remain acute in patients who are not fully alert.
C)   The nurse has a duty to act as the patient's advocate.
D)   The standard of care has not been met with regards to this nurse's actions.E) A) and C)
F) None of the above

Question 12

The nurse is caring for a patient who has experienced a stroke resulting in aphasia. What type of deficit should the nurse assess for?

Accepted Answer

A)   Neurological linguistic
B)   Cognitive comprehension
C)   Sensory deprivation
D)   Social withdrawalE) C) and D)
F) A) and B)

Question 13

The nurse is caring for an older adult patient who is recovering from a stroke. When the nurse speaks to the patient, the patient nods and responds using incoherent words. Which type of aphasia does this patient exhibit?

Accepted Answer

A)   Expressive
B)   Receptive
C)   Global
D)   CognitiveE) B) and C)
F) A) and C)

Question 14

When communicating with a patient diagnosed with a serious mental disorder, it is important for the nurse to recognize which fact about these patients?

Accepted Answer

A)   They seldom have intact sensory channels.
B)   Those with a "flat affect" are easier to understand.
C)   Such patients are typically very talkative.
D)   Social isolation is communing demonstrated.E) C) and D)
F) None of the above

Exam 17: Communicating With Patients Experiencing Communication Deficits

The nurse is caring for an older adult patient who has recently withdrawn from relationships, appears depressed, and appears reluctant to seek information from the nurse due to a hearing loss. What assessment should the nurse focus on to help minimize additional dysfunction?

Correct Answer
verified
B

When caring for a nonverbal patient, the nurse should implement what intervention to maintain communication?

Correct Answer
verified
B

A patient will which diagnosis will most benefit from the use of touch during a therapeutic encounter?

Correct Answer
verified

The nurse is caring for a patient who has experienced global aphasia secondary to a stroke. Which intervention is most appropriate for this patient?

Correct Answer
verified

When caring for a hearing-impaired patient, the nurse should implement what intervention to facilitate communication?

Correct Answer
verified

When attempting to communicate a procedure to a hearing-impaired patient, what strategy would not facilitate client understanding?

Correct Answer
verified

When caring for the patient with macular degeneration, the nurse facilitates communication by implementing which action?

Correct Answer
verified
B

Which statement is true concerning communication deficits?

Correct Answer
verified

Correct Answer
verified

The nurse is caring for a patient who is hearing-impaired and legally blind in the right eye and has just returned from cataract surgery on the left eye. The nurse recognizes that what statement is relevant to the patient's safety when being ambulated?

Correct Answer
verified

The nurse while providing bedside care for an unconscious patient, is overheard stating, "I wouldn't want to live in this condition." What did this nurse not realize about the patient's capabilities?

Correct Answer
verified

The nurse is caring for a patient who has experienced a stroke resulting in aphasia. What type of deficit should the nurse assess for?

Correct Answer
verified

The nurse is caring for an older adult patient who is recovering from a stroke. When the nurse speaks to the patient, the patient nods and responds using incoherent words. Which type of aphasia does this patient exhibit?

Correct Answer
verified

When communicating with a patient diagnosed with a serious mental disorder, it is important for the nurse to recognize which fact about these patients?

Correct Answer
verified

Exam 17: Communicating With Patients Experiencing Communication Deficits

The nurse is caring for an older adult patient who has recently withdrawn from relationships, appears depressed, and appears reluctant to seek information from the nurse due to a hearing loss. What assessment should the nurse focus on to help minimize additional dysfunction?

Correct AnswerverifiedB

When caring for a nonverbal patient, the nurse should implement what intervention to maintain communication?

Correct AnswerverifiedB

A patient will which diagnosis will most benefit from the use of touch during a therapeutic encounter?

Correct AnswerverifiedShow Answer

The nurse is caring for a patient who has experienced global aphasia secondary to a stroke. Which intervention is most appropriate for this patient?

Correct AnswerverifiedShow Answer

When caring for a hearing-impaired patient, the nurse should implement what intervention to facilitate communication?

Correct AnswerverifiedShow Answer

When attempting to communicate a procedure to a hearing-impaired patient, what strategy would not facilitate client understanding?

Correct AnswerverifiedShow Answer

When caring for the patient with macular degeneration, the nurse facilitates communication by implementing which action?

Correct AnswerverifiedB

Which statement is true concerning communication deficits?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

The nurse is caring for a patient who is hearing-impaired and legally blind in the right eye and has just returned from cataract surgery on the left eye. The nurse recognizes that what statement is relevant to the patient's safety when being ambulated?

Correct AnswerverifiedShow Answer

The nurse while providing bedside care for an unconscious patient, is overheard stating, "I wouldn't want to live in this condition." What did this nurse not realize about the patient's capabilities?

Correct AnswerverifiedShow Answer

The nurse is caring for a patient who has experienced a stroke resulting in aphasia. What type of deficit should the nurse assess for?

Correct AnswerverifiedShow Answer

The nurse is caring for an older adult patient who is recovering from a stroke. When the nurse speaks to the patient, the patient nods and responds using incoherent words. Which type of aphasia does this patient exhibit?

Correct AnswerverifiedShow Answer

When communicating with a patient diagnosed with a serious mental disorder, it is important for the nurse to recognize which fact about these patients?

Correct AnswerverifiedShow Answer

Correct Answer
verified
B

Correct Answer
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B

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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B

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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