Author Question: A nurse is caring for a client with myasthenia gravis, and disease which affects the client's ... (Read 114 times)

Pineapplelove6 · **on:** Jul 22, 2018

A nurse is caring for a client with myasthenia gravis, and disease which affects the client's ability to speak. The client is having difficulty forming words and his tone is nasal.

Which of the following is an effective communication strategy for this client? A) Engage the client in a lengthy discussion to strengthen his voice.
B) Encourage the client to speak quickly while talking.
C) Repeat what the client has said to verify the meaning.
D) Nod continuously when the client is talking.

Question 2

A 79-year-old woman who lives independently has been admitted to the emergency department after falling on the ice on the sidewalk outside her house. The nurse should be aware that this client is most likely to have suffered what type of fracture?

A) Ankle fracture
B) Hip fracture
C) Knee fracture
D) Rib fracture

Cnarkel · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Feedback:
The client is having a problem forming words and has a nasal tone due to a nerve involvement that controls speech. For effective communication, the nurse could reflect and verify whatever the client says. The nurse should ask only those questions that can be answered in a yes or no form. Lengthy discussions may tire the client. Encouraging the client to speak quickly is inappropriate. Nodding continuously when the client is talking would not facilitate an effective communication strategy.

Answer to Question 2

B
Feedback:
Among older adults, falls frequently result in hip fractures. These injuries are associated with numerous health consequences and are especially common among women. Hip fractures are a more common consequence of falls than rib fractures, knee fractures, or ankle fractures.