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When communicating with a hearing-impaired patient, the nurse appropriately:

A.

uses short, simple sentences.

B.

shouts repeatedly at the patient.

C.

speaks directly into the patient's ear.

D.

uses long, complex sentences.

Answer and Explanation

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 C

Explanation

A. Test the patient's reading comprehension before using visual handouts.
Testing reading comprehension can be helpful but is not sufficient on its own to assess the patient’s overall learning preferences or needs.

B. Use a hands-on approach, because it works best for most people.
While hands-on learning is effective, assuming it works best for everyone may overlook individual learning preferences.

C. Ask the patient whether he learns best visually, aurally, or kinesthetically. Asking the patient’s learning preferences enables the nurse to tailor education to the patient's strengths.

D. Use a combination of the three modes of learning to enhance learning. Combining all modes without considering the patient's preferences may not be as effective as directly addressing the patient's specific learning style.

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.

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