The nurse is caring for a client who is nonverbal. When caring for this client, the nurse should
a. insist the client communicate in a two-way mode.
b. continue to initiate communication in a one-way mode.
c. refrain from explaining procedures because the client will not understand.
d. limit orienting cues in order to reduce environmental stimuli.
ANS: B
When clients are unable or unwilling to engage in a dialogue, the nurse should continue to initiate communication in a one-way mode. Giving orienting cues is recommended, such as labeling of meals as breakfast, lunch, or dinner; and linking events to routines (e.g., saying, "The x-ray technician will take your chest x-ray right after lunch") helps secure the client in time and space.
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