In order to foster in therapeutic communication with an older adult, which of the following actions should the nurse perform?
A) The nurse should speak in a loud voice when communicating with older clients.
B) The nurse should repeat instructions to compensate for age-related memory impairment.
C) The nurse should assess each new client for hearing and visual deficits.
D) The nurse should try to use the same communication techniques as with younger individuals.
Ans: C
Feedback:
Although principles of therapeutic communication are applicable across the lifespan, older adults require some special adaptations because of age-related changes. Physical factors, such as decreased vision or hearing, may interfere with communication. Age-related changes in hearing require nurses to use a lower-pitched voice and eliminate background noise. Speaking in a somewhat louder voice may be necessary if hearing loss is clear. Nurses must not assume, however, that all older people have difficulty hearing and speak to them unnaturally loudly, which can be irritating. Nurses assess for hearing and visual deficits early and then implement various helpful techniques based on findings.
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