A client has oral cancer and is scheduled for a radical neck dissection. The priority intervention to address this client's psychosocial needs is to
a. arrange a visit from someone who has recovered from this kind of operation.
b. be aware of the tendency to treat people who cannot talk like they are deaf.
c. keep the call light within reach and respond to the client's call light promptly.
d. provide an alternate means of communication like paper and pencil.
C
Clients who are rendered unable to speak by this surgical procedure are often fearful and anxious. Ensuring the client is able to signal for help and responding promptly will help diminish this anxiety. Once in the room with the client, use alternative means of communication to decrease frustration. Preferably, these methods were determined in advance of the operation. Visits from someone who has had this procedure and being aware of tendencies to treat people who cannot talk as if they are deaf are also good interventions, but not the priority.
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