A nurse is implementing nursing care measures for patients' ...

[Wadzanai]

A nurse is implementing nursing care measures for patients' special communication needs. Which patient will need the most nursing care measures?
 
  a. The patient who is oriented, pain free, and blind
  b. The patient who is alert, hungry, and has strong self-esteem
  c. The patient who is cooperative, depressed, and hard of hearing
  d. The patient who is dyspneic, anxious, and has a tracheostomy

Question 2

The staff is having a hard time getting an older-adult patient to communicate. Which technique should the nurse suggest the staff use?
 
  a. Try changing topics often.
  b. Allow the patient to reminisce.
  c. Ask the patient for explanations.
  d. Involve only the patient in conversations.

[abro1885]

Answer to Question 1

ANS: D
Facial trauma, laryngeal cancer, or endotracheal intubation often prevents movement of air past vocal cords or mobility of the tongue, resulting in inability to articulate words. An extremely breathless person needs to use oxygen to breathe rather than speak. Persons with high anxiety are sometimes unable to perceive environmental stimuli or hear explanations. People who are alert, have strong self-esteem, and are cooperative and pain free do not cause communication concerns. Although hunger, blindness, and difficulty hearing can cause communication concerns, dyspnea, tracheostomy, and anxiety all contribute to communication concerns.

Answer to Question 2

ANS: B
Encouraging older adults to share life stories and reminisce about the past has a therapeutic effect and increases their sense of well-being. Avoid sudden shifts from subject to subject. It is helpful to include the patient's family and friends and to become familiar with the patient's favorite topics for conversation. Asking for explanations is a nontherapeutic technique.

[Wadzanai]

Excellent

[atrochim]

TYSM