Answer to Question 1
Answer: There are a variety of practical strategies that could facilitate communication in this scenario. Distractions such as the television could be handled by asking the patient if he or she would mind turning the television off or putting the volume on Mute for a short while. (The phlebotomist should remember to turn up the volume at the completion of the interaction.) If the patient does not want to miss the program, and if the timing of the interaction is not important, then the phlebotomist can offer to come back at a time when the program is over. Regarding the relatives, it is acceptable for the phlebotomist to ask them, Would you mind if Mr. Smith (the patient) and I have a few minutes together; you may wait outside during the procedure and I will call you in as soon as we finish. The patient may prefer to have a relative in the room; this is acceptable if it does not interfere with the interaction. There are several options to cope with the patient's hearing loss, including speaking slightly louder (but not shouting) while facing the patient directly, or using written instructions.
Answer to Question 2
Answer: TRUE