The nurse is caring for a patient with conductive hearing loss resulting from prolonged cerumen impaction. Which intervention by the nurse is most important in establishing effective communication with the patient?
a. Speaking in a loud voice, enunciating every syllable
b. Having direct conversation with the patient in his affected ear
c. If the patient does not understand what the nurse is saying, repeating the phrase again
d. Speaking with hands, face, and expressions
ANS: D
Using gestures other than just speaking helps the patient understand what you are saying and makes it a meaningful stimulus. Speaking in loud tones can distort a patient's ability to hear; the nurse should speak in normal low tones. If the patient does not understand the first time, try rephrasing instead of repeating the message. The nurse can direct conversation toward the patient's unaffected ear.
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