Question 1

When caring for a hearing-impaired client,the nurse should

Accepted Answer

A)  face the interpreter when speaking to the client. 
B)  use gestures that reinforce verbal content. 
C)  speak distinctly while exaggerating words. 
D)  communicate in a dimly-lit room. 
A)  face the interpreter when speaking to the client. 
B)  use gestures that reinforce verbal content. 
C)  speak distinctly while exaggerating words. 
D)  communicate in a dimly-lit room. B

Question 2

The nurse is caring for a client who is hearing-impaired and legally blind in his right eye.The client has just returned from cataract surgery on his left eye.The nurse recognizes that

Accepted Answer

A)  the client's arm should be held when walking. 
B)  verbal speech is useless in this situation. 
C)  signals should be developed to indicate changes in pace or direction while walking. 
D)  the client should be discouraged from reading lips. 
A)  the client's arm should be held when walking. 
B)  verbal speech is useless in this situation. 
C)  signals should be developed to indicate changes in pace or direction while walking. 
D)  the client should be discouraged from reading lips. C

Question 3

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

Accepted Answer

A)  Expressive 
B)  Receptive 
C)  Global 
D)  Cognitive 
A)  Expressive 
B)  Receptive 
C)  Global 
D)  Cognitive A

Question 4

The nurse understands that as clients 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 as

Accepted Answer

A)  receptive aphasia. 
B)  autism. 
C)  presbycusis. 
D)  presbyopia. 
A)  receptive aphasia. 
B)  autism. 
C)  presbycusis. 
D)  presbyopia.

Question 5

The nurse is caring for an older adult client who has recently withdrawn from relationships,appears depressed,and appears reluctant to seek information from the nurse.The nurse suspects the client is experiencing hearing loss.The nurse recognizes that

Accepted Answer

A)  the client will readily acknowledge that this is the problem if asked. 
B)  the client may try to hide deficits and withdraw from relationships. 
C)  decreased hearing ability is not related to conversational style. 
D)  older adults, as a group, have better consonant discrimination. 
A)  the client will readily acknowledge that this is the problem if asked. 
B)  the client may try to hide deficits and withdraw from relationships. 
C)  decreased hearing ability is not related to conversational style. 
D)  older adults, as a group, have better consonant discrimination.

Question 6

The nurse is caring for a client who is nonverbal.When caring for this client,the nurse should

Accepted Answer

A)  insist the client communicate in a two-way mode. 
B)  continue to initiate communication in a one-way mode. 
C)  refrain from explaining procedures because the client will not understand. 
D)  limit orienting cues in order to reduce environmental stimuli. 
A)  insist the client communicate in a two-way mode. 
B)  continue to initiate communication in a one-way mode. 
C)  refrain from explaining procedures because the client will not understand. 
D)  limit orienting cues in order to reduce environmental stimuli.

Question 7

The nurse is caring for a client who has experienced global aphasia secondary to a stroke.Which of the following interventions is most appropriate for this client?

Accepted Answer

A)  Refrain from exploiting any language skills that are preserved 
B)  Frequently remind the client they cannot be understood 
C)  Encourage short, positive sessions to communicate 
D)  Spend long periods of time talking with the client to provide stimulation 
A)  Refrain from exploiting any language skills that are preserved 
B)  Frequently remind the client they cannot be understood 
C)  Encourage short, positive sessions to communicate 
D)  Spend long periods of time talking with the client to provide stimulation

Question 8

When caring for the client with macular degeneration,the nurse should

Accepted Answer

A)  face the client directly. 
B)  stand to the client's side. 
C)  hold the client's arm when walking. 
D)  refrain from touching the client. 
A)  face the client directly. 
B)  stand to the client's side. 
C)  hold the client's arm when walking. 
D)  refrain from touching the client.

Question 9

Which of the following clients with a communication deficit requires the use of touch during a therapeutic encounter?

Accepted Answer

A)  Vision-impaired client 
B)  Client with a hearing loss 
C)  Mentally ill client 
D)  Client with schizophrenia 
A)  Vision-impaired client 
B)  Client with a hearing loss 
C)  Mentally ill client 
D)  Client with schizophrenia

Question 10

The nurse is caring for a client who has experienced a stroke.The client has aphasia.The nurse recognizes that aphasia is a

Accepted Answer

A)  neurological linguistic deficit. 
B)  cognitive comprehension deficit. 
C)  sensory deprivation deficit. 
D)  mental disorder deficit. 
A)  neurological linguistic deficit. 
B)  cognitive comprehension deficit. 
C)  sensory deprivation deficit. 
D)  mental disorder deficit.

Question 11

When communicating with a client diagnosed with a serious mental disorder,it is important for the nurse to recognize which of the following?

Accepted Answer

A)  Clients with mental disorders never have intact sensory channels 
B)  Clients with a 'flat affect' are easier to understand 
C)  Clients with mental disorders are always very talkative 
D)  Clients with mental disorders may suffer from social isolation and impaired coping 
A)  Clients with mental disorders never have intact sensory channels 
B)  Clients with a 'flat affect' are easier to understand 
C)  Clients with mental disorders are always very talkative 
D)  Clients with mental disorders may suffer from social isolation and impaired coping

Question 12

Which of the following is true in relation to communication deficits?

Accepted Answer

A)  Communication deficits occur only as a result 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 client's independence. 
A)  Communication deficits occur only as a result 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 client's independence.

Question 13

The nurse is caring for an unconscious client.The client's family member reports that a nurse at the client's bedside stated,"I wouldn't want to live in this condition." What did this nurse not realize about the client's capabilities?

Accepted Answer

A)  The client can read lips 
B)  Hearing can remain acute in clients who are not fully alert 
C)  The client can respond to statements through written communication 
D)  The client can be sensitive to the nurse's nonverbal behavior 
A)  The client can read lips 
B)  Hearing can remain acute in clients who are not fully alert 
C)  The client can respond to statements through written communication 
D)  The client can be sensitive to the nurse's nonverbal behavior

Question 14

When attempting to communicate a procedure to a Spanish-speaking client,a strategy that the nurse could use to facilitate understanding would be

Accepted Answer

A)  speak distinctly while exaggerating words. 
B)  attempt to use sign language. 
C)  use pictographs. 
D)  explain what is happening in complex terms. 
A)  speak distinctly while exaggerating words. 
B)  attempt to use sign language. 
C)  use pictographs. 
D)  explain what is happening in complex terms.

When caring for a hearing-impaired client,the nurse should

The nurse is caring for a client who is hearing-impaired and legally blind in his right eye.The client has just returned from cataract surgery on his left eye.The nurse recognizes that

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

The nurse is caring for an older adult client who has recently withdrawn from relationships,appears depressed,and appears reluctant to seek information from the nurse.The nurse suspects the client is experiencing hearing loss.The nurse recognizes that

The nurse is caring for a client who is nonverbal.When caring for this client,the nurse should

The nurse is caring for a client who has experienced global aphasia secondary to a stroke.Which of the following interventions is most appropriate for this client?

When caring for the client with macular degeneration,the nurse should

Which of the following clients with a communication deficit requires the use of touch during a therapeutic encounter?

The nurse is caring for a client who has experienced a stroke.The client has aphasia.The nurse recognizes that aphasia is a

When communicating with a client diagnosed with a serious mental disorder,it is important for the nurse to recognize which of the following?

Which of the following is true in relation to communication deficits?

The nurse is caring for an unconscious client.The client's family member reports that a nurse at the client's bedside stated,"I wouldn't want to live in this condition." What did this nurse not realize about the client's capabilities?

When attempting to communicate a procedure to a Spanish-speaking client,a strategy that the nurse could use to facilitate understanding would be

Theory Based Perspectives and Contemporary Dynamics

Professional Guides for Nursing Communication

Clinical Judgment and Ethical Decision Making

Clarity and Safety in Communication

Developing Therapeutic Communication Skills

Variation in Communication Styles

Intercultural Communication

Therapeutic Communication in Groups

Self Concept in Professional Interpersonal Relationships

Developing Therapeutic Relationships

Bridges and Barriers in Therapeutic Relationships

Communicating With Families

Resolving Conflicts Between Nurse and Client

Communicating to Encourage Health Literacy, health Promotion, and Prevention of Disease

Health Teaching and Coaching

Empowerment-Oriented Communication Strategies to Reduce Stress

Communicating With Children

Communicating With Older Adults

Communicating With Clients in Crisis

Communicating With Clients and Families at the End of Life

Role Relationships and Interprofessional Communication

Communicating With Other Health Professionals

Communicating for Continuity of Care

Documentation in an Electronic Era

Communicating at the Point of Care: Application of Ehealth Information Technologies

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Exam 17: Communicating With Clients Experiencing Communication Deficits

When caring for a hearing-impaired client,the nurse should

The nurse is caring for a client who is hearing-impaired and legally blind in his right eye.The client has just returned from cataract surgery on his left eye.The nurse recognizes that

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

The nurse is caring for an older adult client who has recently withdrawn from relationships,appears depressed,and appears reluctant to seek information from the nurse.The nurse suspects the client is experiencing hearing loss.The nurse recognizes that

The nurse is caring for a client who is nonverbal.When caring for this client,the nurse should

The nurse is caring for a client who has experienced global aphasia secondary to a stroke.Which of the following interventions is most appropriate for this client?

When caring for the client with macular degeneration,the nurse should

Which of the following clients with a communication deficit requires the use of touch during a therapeutic encounter?

The nurse is caring for a client who has experienced a stroke.The client has aphasia.The nurse recognizes that aphasia is a

When communicating with a client diagnosed with a serious mental disorder,it is important for the nurse to recognize which of the following?

Which of the following is true in relation to communication deficits?

The nurse is caring for an unconscious client.The client's family member reports that a nurse at the client's bedside stated,"I wouldn't want to live in this condition." What did this nurse not realize about the client's capabilities?

When attempting to communicate a procedure to a Spanish-speaking client,a strategy that the nurse could use to facilitate understanding would be

Theory Based Perspectives and Contemporary Dynamics

Professional Guides for Nursing Communication

Clinical Judgment and Ethical Decision Making

Clarity and Safety in Communication

Developing Therapeutic Communication Skills

Variation in Communication Styles

Intercultural Communication

Therapeutic Communication in Groups

Self Concept in Professional Interpersonal Relationships

Developing Therapeutic Relationships

Bridges and Barriers in Therapeutic Relationships

Communicating With Families

Resolving Conflicts Between Nurse and Client

Communicating to Encourage Health Literacy, health Promotion, and Prevention of Disease

Health Teaching and Coaching

Empowerment-Oriented Communication Strategies to Reduce Stress

Communicating With Children

Communicating With Older Adults

Communicating With Clients in Crisis

Communicating With Clients and Families at the End of Life

Role Relationships and Interprofessional Communication

Communicating With Other Health Professionals

Communicating for Continuity of Care

Documentation in an Electronic Era

Communicating at the Point of Care: Application of Ehealth Information Technologies

Filters