A patient has trouble speaking words, and the patient's speech is ...

[Zulu123]

A patient has trouble speaking words, and the patient's speech is garbled. Which nursing diagnosis is most appropriate for this patient?
 
  a. Hopelessness
  b. Impaired verbal communication
  c. Hearing loss
  d. Self-care deficit

Question 2

A nurse and patient take action to meet health-related goals. The nurse is in which phase of the helping relationship?
 
  a. Pre-interaction
  b. Orientation
  c. Working
  d. Termination

[nhea]

Answer to Question 1

ANS: B
A patient with impaired verbal communication has defining characteristics such as an inability to articulate words, inappropriate verbalization, difficulty forming words, and difficulty comprehending. Hopelessness implies that the patient has no hope for the future. Hearing loss is not a nursing diagnosis. Just because a patient has garbled speech does not mean that a hearing loss has occurred; a physical problem such as a stroke could cause the garbled speech. Self-care deficit does not apply in this situation because this usually relates to bathing, grooming, etc.

Answer to Question 2

ANS: C
The working phase occurs when the nurse and the patient work together to solve problems and accomplish goals. Pre-interaction occurs before the nurse meets the patient. Orientation occurs when the nurse and the patient meet and get to know each other. Termination occurs during the ending of the relationship.