The nurse is assessing a client for objective symptoms of hearing difficulties. Which symptom leads the nurse to take alternate measures to ensure client understanding of teaching?
A) The client interrupts by asking the nurse to repeat instruction.
B) The client is quiet and responds appropriately.
C) The client leans forward and turns the head.
D) The client quietly reads the instructional literature.
C
Feedback:
The nurse assesses objective symptoms of leaning forward and turning the head as symptoms of having difficulty hearing. The nurse would use alternate formats of teaching to reinforce key points. Asking to repeat information is a subjective indication of hearing difficulty. Responding appropriately and reading instructional literature does not indicate a hearing difficulty.
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