Answer to Question 1
ANS: A
Using a pen and paper can be frustrating for a nonverbal (aphasic) patient whose handwriting is shaky; the nurse can revise the care plan to include use of a picture board instead. An interpreter is used for a patient who speaks a foreign language. A hearing aid is used for the hard of hearing, not for an aphasic patient.
Answer to Question 2
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, a tracheostomy, and anxiety all contribute to communication concerns.
Bronchoscopy. Figure illustrates physician using a bronchoscope to inspect the patient’s bronchial t
Patient with typical rheumatoid arthritis contractures.
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
Patient Teaching Methods Cont.
A physical therapist exercising the patient’s leg in a physical therapy department.