The nurse understands that as clients age, they are more likely ...

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The nurse understands that as clients age, they are more likely to have vision problems that may interfere with the communication process, including the lens of the eyes becoming less flexible,
 
  making it difficult to accommodate shifts from far to near vision. The nurse recognizes that this condition is known as
 
  a. receptive aphasia.
  b. autism.
  c. presbycusis.
  d. presbyopia.

Question 2

The nurse is caring for a client who is nonverbal. When caring for this client, the nurse should
 
  a. insist the client communicate in a two-way mode.
  b. continue to initiate communication in a one-way mode.
  c. refrain from explaining procedures because the client will not understand.
  d. limit orienting cues in order to reduce environmental stimuli.

[nicoleclaire22]

Answer to Question 1

ANS: D
As clients age, they are more likely to have vision problems that may interfere with the communication process because the lens of the eyes become less flexible, making it difficult to accommodate shifts from far to near vision. This is a condition known as presbyopia. Receptive aphasia creates difficulties in receiving and processing written and oral messages. Atypical communication is often the first behavioral clue to cognitive impairment in young children, associated with conditions such as mental retardation, autism, and affective disorders. Presbycusis, or degeneration of ear structures, is a sensorineural dysfunction that normally occurs as one ages.

Answer to Question 2

ANS: B
When clients are unable or unwilling to engage in a dialogue, the nurse should continue to initiate communication in a one-way mode. Giving orienting cues is recommended, such as labeling of meals as breakfast, lunch, or dinner; and linking events to routines (e.g., saying, The x-ray technician will take your chest x-ray right after lunch) helps secure the client in time and space.

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TYSM

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