A male client who is 80 years old has fallen several times since admission and the nurse feels the falls are the result of a communication impairment with the client
Which should the nurse delegate to the unlicensed assistive personnel (UAP) to facilitate effective communication? (Select all that apply.) 1. Collaborate for a hearing aid and glasses
2. Clarify the meanings of client statements
3. Lower volume of television when speaking
4. Speak clearly while face to face with client
5. Engage client in conversation during bathing
6. Explore alternative communication methods
3, 4, 5
3. The nurse instructs the UAP to decrease environmental noise and to stand directly in front of the client when speaking to the client, as well as engaging the client in pleasant conversation during daily routines to facilitate effective communication and prevent falls. Ambient noise is a very common impairment to hearing, so lowering the television, closing the door, or asking other people to be quiet for a moment while speaking with the client increases the chance of the client receiving the message.
4. Speaking face to face allows the client to see the speaker's face and mouth and directs the spoken word to both ears.
5. The UAP remains alert for client information and reports to the nurse while engaging the client in conversation.
1, 2, and 6. The remaining options, collaboration, clarification, and planning, require nursing judgment and assessment skills that are not suitable for delegation to the UAP.
1. Collaboration is a nursing function and, for this client, involves assessing the need for a hearing aid or glasses to eliminate a potential barrier to communication.
2. The RN clarifies client statements with the client because the RN is prepared to elicit information from the client.
6. The RN assesses client communication needs to explore alternative communication methods.
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