Practice Question
During an assessment, the nurse notices that an older adult client's responses are vague or unrelated to the questions asked. The client leans forward and frowns while listening intently. Which nursing statement best assesses the quality of message transmission?
Answer Choices:
Correct Answer:
"It seems like you are having difficulty hearing me. Is that correct?"
Rationale:
✴️ The client’s leaning forward, frowning, and unrelated answers suggest hearing impairment rather than confusion or disinterest.
✴️ This response directly but gently clarifies the communication barrier and allows for proper assessment.
✴️ It uses objective observation and invites the client to confirm the nurse’s perception, a therapeutic communication skill.
✴️ Identifying sensory deficits helps prevent misdiagnosis of cognitive decline or disorientation in older adults.
✴️ The nurse can then adjust communication strategies, such as speaking clearly, using lower tones, or ensuring hearing aids are functioning.
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From Exam
Mental health community and public health quiz
15 Questions
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- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Mental Health
- Answer Choices: 4