When communicating with an older client who is hearing impaired, the nurse initially:

A

Presume you mean stand in front of the patient as in 'face to face'

+1 for A

Or for those with a sense of humor, write next to A. "What's the matter? Are you deaf?"

I agree with A

then I looked in Jarvis who says - ask the person's preferred way to communicate - by signing, lip reading, or writing.

She goes on to say that a complete health history requires a sign language interpreter, if the person prefers lip reading be sure to face the person, do not exaggerate your lip movements.

A

I have a test question:

When communicating with an older client who is hearing impaired, the nurse initially:

A. Stands in front of the client

B. Exaggerates lip movements

C Obtains a sign language interpreter

D. Pantomimes and writes the client notes

Which one is correct?

Thank you for your reply

A

I would say D.

A&B assumes the patient can read lips.

C assumes the patient can sign.

Then again D assumes the patient can READ!!

Typical nursing school trickery.

Was just reading that while studying for my final and the answer is A

A

I have a test question:

When communicating with an older client who is hearing impaired, the nurse initially:

A. Stands in front of the client

B. Exaggerates lip movements

C Obtains a sign language interpreter

D. Pantomimes and writes the client notes

Which one is correct?

Thank you for your reply

I say "A", because that is the first thing you'd do so that the client can read your lips. You'd need to initially do that before exaggerating lip mvmt, obtain a sign language interpreter, or pantomime and write the client notes.

Just my $0.02 :wink2:

Jess

My original degree is in speech-language pathology, and I would agree that the correct answer is "A". Exagerrating lip movements makes speech much harder to read. Older people who are hard of hearing probably do not know sign language as it is taught to younger children (someone has said that already).