A client is legally blind in both eyes. Which of the following is ...

[khang]

A client is legally blind in both eyes. Which of the following is the most appropriate statement for the nurse to make to the client regarding providing the client with assistance?
 
  statement for the nurse to make to the client regarding providing the client with assistance?
  1. I will walk in front of you, and you can hold onto my belt.
  2. I know that you must need me to be your sighted guide to get around in this fa-cility.
  3. I will warn you of upcoming curbs or stairs.
  4. I will get you a wheelchair so that I can move you around safely.

Question 2

The client has experienced a cerebral vascular accident (stroke) with resultant expressive aphasia. The nurse promotes communication with this client by:
 
  1. Speaking very loudly and slowly
  2. Speaking to the client on the unaffected side
  3. Using a picture chart for the client's responses
  4. Using hand gestures to convey information to the client

[lkoler]

Answer to Question 1

ANS: 3
To assist the client who is legally blind, the nurse should warn the client when approaching doorways or narrow spaces, including upcoming curbs or stairs. To assist the client who is legally blind, the nurse should walk one-half step ahead and slightly to the side of the visually impaired person. The client can place his or her hand on the nurse's forearm. Often sensorially impaired clients can help themselves, and it is essential that they do so for self-esteem. The client who is able should be encouraged to ambulate.

Answer to Question 2

ANS: 3
For the client with aphasia, the nurse can communicate using a picture chart or communication board for the client's responses. The nurse should not speak loudly and slowly to the client with expressive aphasia. The client is able to understand; this may seem patronizing to the client. The nurse should not speak to the client on the unaffected side, as this will not improve communica-tion. Using hand gestures to convey information to the client may be helpful for the client with receptive aphasia, not expressive aphasia.

[khang]

TYSM

[AngeliqueG]

Excellent