The nurse is identifying interventions for a patient with a hearing deficit. What should be included in this patient's plan of care?

Select all that apply.
1. Speak face-to-face, but do not overarticulate your words.
2. Offer alternative methods of communication, such as paper and pencil.
3. Use facial and hand gestures while talking.
4. Speak loudly and in a higher pitch for easier understanding of words.
5. Restate in exactly the same words if not understood the first time.


Correct Answer: 1, 2, 3
Many patients with hearing deficits can read lips to some extent to assist in the communication process. Facing away from the patient does not alert the patient to the need to communicate. Offering alternative methods of communication allows for independence and clarity of communication if the patient chooses to use another method. The nurse allows the patient to maintain self-esteem and input to personal management. Facial gestures and hand gestures (nonverbal cues) contribute to communication; therefore, they are not distracting but helpful. Do not speak louder; use a deeper tone for better understanding, since higher pitch is lost first with most hearing problems. Do not use the same words, since consonants and vowels are not being understood. Try alternative words or methods of communication. Repeating the same words is frustrating for both persons.

Nursing

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