The nurse is interviewing a patient with a hearing deficit. Which ...

[c0205847]

The nurse is interviewing a patient with a hearing deficit. Which area should the nurse use to conduct this interview?
 
  a. The patient's room with the door closed
  b. The waiting area with the television turned off
  c. The patient's room before administration of pain medication
  d. The waiting room while the occupational therapist is working on leg exercises

Question 2

A new nurse is completing an assessment on an 80-year-old patient who is alert and oriented. The patient's daughter is present in the room. Which action by the nurse will require follow-up by the charge nurse?
 
  a. The nurse makes eye contact with the patient.
  b. The nurse speaks only to the patient's daughter.
  c. The nurse leans forward while talking with the patient.
  d. The nurse nods periodically while the patient is speaking.

[Juro]

Answer to Question 1

ANS: A
Distractions should be eliminated as much as possible when interviewing a patient with a hearing deficit. The best place to conduct this interview is in the patient's room with the door closed. The waiting area does not provide privacy. Pain can sometimes inhibit someone's ability to concentrate, so before pain medication is administered is not advisable. It is best for the patient to be as comfortable as possible when conducting an interview. Assessing a patient while another member of the health care team is working would be distracting and is not the best time for an interview to take place.

Answer to Question 2

ANS: B
Gathering data from family members is acceptable, but when a patient is able to interact, nurses need to include information from the older adult to complete the assessment. Therefore, the charge nurse must correct this misconception. When assessing an older adult, nurses need to listen carefully and allow the patient to speak. Positive nonverbal communication, such as making eye contact, nodding, and leaning forward, shows interest in the patient. Thus, the charge nurse does not need to intervene or follow up.

[c0205847]

Excellent

[bdobbins]

TYSM