The nurse is interviewing a male patient who has a hearing impairment. What techniques would be most beneficial in communicating with this patient?

a. Determine the communication method he prefers.

b. Avoid using facial and hand gestures because most hearing-impaired people find this degrading.

c. Request a sign language interpreter before meeting with him to help facilitate the communication.

d. Speak loudly and with exaggerated facial movement when talking with him because doing so will help him lip read.

A 75-year-old woman is at the office for a preoperative interview. The nurse is aware that the interview may take longer than interviews with younger persons. What is the reason for this?

a. An aged person has a longer story to tell.

b. An aged person is usually lonely and likes to have someone with whom to talk.

c. Aged persons lose much of their mental abilities and require longer time to complete an interview.

d. As a person ages, he or she is unable to hear; thus the interviewer usually needs to repeat much of what is said.

Answer: A

A 16-year-old boy has just been admitted to the unit for overnight observation after being in an automobile accident. What is the nurses best approach to communicating with him?

a.

Use periods of silence to communicate respect for him.

b.

Be totally honest with him, even if the information is unpleasant.

c.

Tell him that everything that is discussed will be kept totally confidential.

d.

Use slang language when possible to help him open up.A 16-year-old boy has just been admitted to the unit for overnight observation after being in an automobile accident. What is the nurses best approach to communicating with him?

Answer: B

During an examination of a 3-year-old child, the nurse will need to take her blood pressure. What might the nurse do to try to gain the childs full cooperation?

a. Tell the child that the blood pressure cuff is going to give her arm a big hug.

b. Tell the child that the blood pressure cuff is asleep and cannot wake up.

c. Give the blood pressure cuff a name and refer to it by this name during the assessment.

d. Tell the child that by using the blood pressure cuff, we can see how strong her muscles are

Answer: D

A mother brings her 28-month-old daughter into the clinic for a well-child visit. At the beginning of the visit, the nurse focuses attention away from the toddler, but as the interview progresses, the toddler begins to warm up and is smiling shyly at the nurse. The nurse will be most successful in interacting with the toddler if which is done next?

a. Tickle the toddler, and get her to laugh.

b. Stoop down to her level, and ask her about the toy she is holding.

c. Continue to ignore her until it is time for the physical examination.

d. Ask the mother to leave during the examination of the toddler, because toddlers often fuss less if their parent is not in view.

Answer: B

During an interview, a parent of a hospitalized child is sitting in an open position. As the interviewer begins to discuss his sons treatment, however, he suddenly crosses his arms against his chest and crosses his legs. This changed posture would suggest that the parent is:

a. Simply changing positions.

b. More comfortable in this position.

c. Tired and needs a break from the interview.

d. Uncomfortable talking about his sons treatment

Answer: D