A nurse is caring for a client with myasthenia gravis. The client ...

[vicotolentino]

A nurse is caring for a client with myasthenia gravis. The client is having difficulty forming words and his tone is nasal. Which of the following is an effective communication strategy for this client?
 
  A) Engage the client in a lengthy discussion to strengthen his voice.
  B) Encourage the client to speak quickly while talking.
  C) Repeat what the client has said to verify the meaning.
  D) Nod continuously when the client is talking.

Question 2

A nurse is caring for a client who is visually impaired. Which of the following is a recommended guideline for communication with this client?
 
  A) Ease into the room without acknowledging presence until the client can be touched.
  B) Speak in a louder tone of voice to make up for lack of visual cues.
  C) Explain reason for touching client before doing so.
  D) Keep communication simple and concrete.

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Answer to Question 1

Ans: C
The client is having a problem forming words and has a nasal tone due to a nerve involvement that controls speech. For effective communication, the nurse should repeat and verify whatever the client says. The nurse should ask those questions which can be answered in a yes or no form. Lengthy discussions may tire the client. Encouraging the client to speak quickly is inappropriate. Nodding continuously when the client is talking would not facilitate an effective communication strategy.

Answer to Question 2

Ans: C
For clients who are visually impaired, the nurse should acknowledge his or her presence in the client's room, identify self by name, speak in a normal tone of voice, explain the reason for touching the client before doing so, and indicate to the client when the conversation has ended and when leaving the room.

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Gracias!

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