When communicating with a hearing-impaired patient, the nurse appropriately:
uses short, simple sentences.
shouts repeatedly at the patient.
speaks directly into the patient's ear.
uses long, complex sentences.
The Correct Answer is A
A. Uses short, simple sentences.
Short, simple sentences are easier to understand and support clear communication.
B. Shouts repeatedly at the patient.
Shouting can distort sounds and may be uncomfortable or disrespectful for the patient.
C. Speaks directly into the patient's ear.
Speaking directly into the ear is not appropriate as it can invade personal space and may not improve understanding.
D. Uses long, complex sentences.
Long sentences may be harder for the patient to understand, especially if lip-reading is being used.
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Correct Answer is A
Explanation
A. Guarding the confidentiality of the patient record by not leaving the patient screen "on" if he leaves the terminal. Protecting patient confidentiality is essential in electronic charting to prevent unauthorized access.
B. Learning the passwords of the staff nurses and primary care providers so that they can communicate with one another. Sharing or learning others' passwords violates security protocols and confidentiality rules.
C. Choosing whether he will use the computer to help in documentation or continue to use traditional paper documentation. In facilities using electronic charting, all staff are typically required to use the system to maintain consistent, accessible records.
D. Patient education to input information about herself, such as intake and output or symptoms the patient may experience. Patients typically do not have access to chart directly into their medical records.
Correct Answer is D
Explanation
A. Avoid the use of eye contact to allow the patient to express herself without feeling stared at or demeaned.
Avoiding eye contact can make the patient feel ignored or unheard and is generally not effective in active listening.
B. Ask probing questions to direct the conversation and obtain the information needed as efficiently as possible.
Active listening involves allowing the patient to lead the conversation rather than directing it with probing questions.
C. Anticipate what the speaker is trying to say and help the patient express herself when she has difficulty with finishing a sentence.
While well-intentioned, finishing sentences can prevent the patient from expressing thoughts fully.
D. Use nonverbal cues such as leaning forward, focusing on the speaker's face, and slightly nodding to indicate that the message has been heard.