Practice Question
A nurse is providing discharge instructions to a client with a hearing impairment. Identify the potential communication aid .
Answer Choices:
Correct Answer:
Avoid chewing while talking
Rationale:
✅ 1. Avoid chewing while talking — Correct
🟦 Chewing during conversation makes lip-reading difficult because the client cannot clearly see mouth movements and facial cues.
🟦 It also distorts speech, making it harder for the client to interpret even amplified sound or read lips effectively.
🟦 Clients with hearing impairment rely heavily on visual communication, so eliminating distractions around the mouth improves clarity.
🟦 Speaking slowly and clearly without chewing enhances understanding and reduces frustration.
🟦 This is a standard communication strategy for clients using partial hearing or lip-reading.
✅ 2. Maintain eye contact — Correct
🟩 Maintaining eye contact ensures the client can observe facial expressions, lip movements, and non-verbal cues, which support comprehension.
🟩 It also establishes trust and allows the client to focus on the speaker, helping compensate for reduced auditory information.
🟩 Eye contact helps the nurse determine if the client is following the conversation based on visual feedback.
🟩 Turning away while speaking results in muffled sound and makes lip-reading impossible.
🟩 Good face-to-face alignment keeps communication direct and effective.
✅ 3. Turn off the television and radio — Correct
🟧 Background noise interferes with the client’s ability to distinguish spoken words, especially when hearing is limited.
🟧 Reducing environmental noise allows the client to focus on the nurse’s voice and visual cues without auditory competition.
🟧 It also reduces cognitive load, making communication less tiring and more effective.
🟧 Quiet environments are essential for clients who rely on hearing aids or residual hearing.
🟧 This strategy improves overall quality of communication and minimizes misunderstandings.
❌ 4. Shout loudly into the unaffected ear — Incorrect
🔴 Shouting distorts sound waves, making speech more difficult to interpret, not clearer.
🔴 It is also uncomfortable and may be perceived as disrespectful or startling.
❌ 5. Avoid using hand gestures — Incorrect
🔴 Hand gestures and facial expressions are valuable non-verbal tools that support understanding for hearing-impaired clients.
🔴 Eliminating gestures removes a helpful communication channel and increases communication barriers.
❌ 6. Do not over-enunciate words — Incorrect
🔴 Over-enunciation exaggerates lip movements, making lip-reading harder, not easier.
🔴 Natural, clear speech with normal lip movement is far more effective.
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This question is from NR325_Quiz3_Young_CRN1864... bridge_September2025 which contains 10 questions.
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From Exam
NR325_Quiz3_Young_CRN1864... bridge_September2025
10 Questions
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- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Health Assessment
- Answer Choices: 6