Answer to Question 1
D
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A Shouting is not an appropriate communication technique, as it may distort sound and be misinterpreted as anger.
B Elderspeak is condescending baby talk and should be avoided.
C Speaking at a very slow rate is not an appropriate communication technique; the nurse should speak clearly at a moderate rate.
D One tip for improved communication with older adults who have communication barriers is to allow time for the patient to respond. Do not assume the patient is being uncooperative if he or she makes no response or offers a delayed response.
Answer to Question 2
B
The client may have pain of burning during urination (dysuria) as urine flows over inflamed tis-sues. This is a sign of a urinary tract infection.
Chills are a more-systemic symptom associated with pyelonephritis.
Flank pain is a more-systemic symptom associated with pyelonephritis.
Lower back pain is not a symptom associated with pyelonephritis.