NSC 242 Final Exam With Complete
Solution A+ Graded
communication deficits - ANSWER difficulty receiving, sending, processing and
understanding ideas
- verbal or non verbal and graphic symbols
Communication disability - ANSWER any impairment in body structure/function that
interferes with communications
importance: any impairment of a clients ability to send and receive info may comprise. -
ANSWER health
health care
right to make decisions
Goal is to. - ANSWER maximize clients ability to successfully communicate to interact
with the health care system to ensure optimal health and quality of life
Legal mandates:
Americans with disabilities act (ADA) prohibits: - ANSWER discrimination on basis of
disability
ex: physicians office is required to provide reasonable accommodations to ensure
effective communication such as sign language interprets or literature in clients native
language
rehab act - ANSWER bars discrimination by those providers receiving reimbursement
from federal government including medicare
,Title VI of the 1964 civil rights act - ANSWER prohibits discrimination of basis on national
origin
Nursing considerations - assess every clients communication skills and abilities
2 individuals can have the same sensory impairment but no be equally communication
disabled - ANSWER you have to assess individual abilities
the severity of the disability may not be as apparent because of - ANSWER
compensation
treat each client's disability differently to provide. - ANSWER high level and safe nursing
evaluate physiological readiness to communicate nyou need to express. - ANSWER your
respect, your desire to understand and your empathy towards their frustrations
- be brief
utilize sensory aids - ANSWER communication boards
pictures
electronic aids
pick means of communication best suited to the client - ANSWER use multiple pathways
(audio and visual)
help client use their assistive equipment like. - ANSWER hearing aids, glasses, smart
phones
hearing loss especially in the higher ranges are most often found in - ANSWER older
adults
good = lower range
presbycosis - ANSWER hard of hearing
,sounds words pitch loudness and inflection [way I say a word] are all. - ANSWER lost
when you can't hear
deprived of hearing, clients may withdraw from relationships and become - ANSWER
depressed or be less likely to seek info
communication strategies on hearing loss - ANSWER stand in front of client
choose a quiet, private place/close doors and decrease environmental noise
tap on table/floor to get attention
Use facial expressions, hand signals and gestures to emphasize the verbal message
provided-interpreter
Speak in a clear manner without distorting words
Well Articulated, moderate tone
Continuation of communication techniques hearing loss - ANSWER
Megaphone phone for partial loss of hearing
If unable to hear, communication should be seen
Close captioned TV - use of text or email
Requesting the client to vocalize speech -his /her expression though not clearly
understood
loss of vision - ANSWER most Americans with vision loss are >50 yrs
presbyopia - cannot accommodate between near and far
age related macular degeneration - ANSWER area near the center of the retina can no
longer focus
all non verbal cues associated with communication cannot. - ANSWER be perceived by
these clients
, communication strategies. vision loss - ANSWER let the person know when you
approach them by speaking your name, simple touch, and always indicating when
you're leaving
use large print, audio taped info or braille
do not lead a client, extend your arm and allow the client to take it
use signals to indicate changes in pace or direction
stand to one side of clients with macular degeneration (retain peripheral vision)
place objects on a tray in clock wise order (orient client to objects)
voice tones and pauses that reinforce verbal information are useful
orient to environmental dangers (describe room size and plan)
do not speak to blind clients in a raised voice
aphasia - ANSWER inability to speak
severe aphasia - ANSWER cannot find appropriate words, unable to put words into
coherent phrases
ex: unable to locate word for yes
receptive aphasia-ANSWER difficulty processing what they hearing
- are unable to follow directions, read and write
Solution A+ Graded
communication deficits - ANSWER difficulty receiving, sending, processing and
understanding ideas
- verbal or non verbal and graphic symbols
Communication disability - ANSWER any impairment in body structure/function that
interferes with communications
importance: any impairment of a clients ability to send and receive info may comprise. -
ANSWER health
health care
right to make decisions
Goal is to. - ANSWER maximize clients ability to successfully communicate to interact
with the health care system to ensure optimal health and quality of life
Legal mandates:
Americans with disabilities act (ADA) prohibits: - ANSWER discrimination on basis of
disability
ex: physicians office is required to provide reasonable accommodations to ensure
effective communication such as sign language interprets or literature in clients native
language
rehab act - ANSWER bars discrimination by those providers receiving reimbursement
from federal government including medicare
,Title VI of the 1964 civil rights act - ANSWER prohibits discrimination of basis on national
origin
Nursing considerations - assess every clients communication skills and abilities
2 individuals can have the same sensory impairment but no be equally communication
disabled - ANSWER you have to assess individual abilities
the severity of the disability may not be as apparent because of - ANSWER
compensation
treat each client's disability differently to provide. - ANSWER high level and safe nursing
evaluate physiological readiness to communicate nyou need to express. - ANSWER your
respect, your desire to understand and your empathy towards their frustrations
- be brief
utilize sensory aids - ANSWER communication boards
pictures
electronic aids
pick means of communication best suited to the client - ANSWER use multiple pathways
(audio and visual)
help client use their assistive equipment like. - ANSWER hearing aids, glasses, smart
phones
hearing loss especially in the higher ranges are most often found in - ANSWER older
adults
good = lower range
presbycosis - ANSWER hard of hearing
,sounds words pitch loudness and inflection [way I say a word] are all. - ANSWER lost
when you can't hear
deprived of hearing, clients may withdraw from relationships and become - ANSWER
depressed or be less likely to seek info
communication strategies on hearing loss - ANSWER stand in front of client
choose a quiet, private place/close doors and decrease environmental noise
tap on table/floor to get attention
Use facial expressions, hand signals and gestures to emphasize the verbal message
provided-interpreter
Speak in a clear manner without distorting words
Well Articulated, moderate tone
Continuation of communication techniques hearing loss - ANSWER
Megaphone phone for partial loss of hearing
If unable to hear, communication should be seen
Close captioned TV - use of text or email
Requesting the client to vocalize speech -his /her expression though not clearly
understood
loss of vision - ANSWER most Americans with vision loss are >50 yrs
presbyopia - cannot accommodate between near and far
age related macular degeneration - ANSWER area near the center of the retina can no
longer focus
all non verbal cues associated with communication cannot. - ANSWER be perceived by
these clients
, communication strategies. vision loss - ANSWER let the person know when you
approach them by speaking your name, simple touch, and always indicating when
you're leaving
use large print, audio taped info or braille
do not lead a client, extend your arm and allow the client to take it
use signals to indicate changes in pace or direction
stand to one side of clients with macular degeneration (retain peripheral vision)
place objects on a tray in clock wise order (orient client to objects)
voice tones and pauses that reinforce verbal information are useful
orient to environmental dangers (describe room size and plan)
do not speak to blind clients in a raised voice
aphasia - ANSWER inability to speak
severe aphasia - ANSWER cannot find appropriate words, unable to put words into
coherent phrases
ex: unable to locate word for yes
receptive aphasia-ANSWER difficulty processing what they hearing
- are unable to follow directions, read and write
