Deck 17: Communicating With Clients Experiencing Communication Deficits

Question 1

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

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.

Answer 1

stand to the client's side.

Question 2

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

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.

Answer 2

use gestures that reinforce verbal content.

Question 3

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

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

Answer 3

Vision-impaired client

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

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

Question 5

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

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.

Question 6

The nurse is caring for an older adult client who has recently withdrawn from relationships,appears depressed,and appears reluctant to seek information from the nurse.The nurse suspects the client is experiencing hearing loss.The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

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 7

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

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

Question 8

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?

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 9

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

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 10

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

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 11

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

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 12

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

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

Question 13

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?

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

Question 14

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?

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