The nurse is administering a bath to a hearing-impaired patient. The nurse should: (Select all that apply.)
a. speak very loudly into the patient's right ear.
b. control background noise as much as possible.
c. turn away when responding to a question.
d. adjust the lighting in the room.
e. be wary of consistent affirmative answers.
ANS: B, D, E
When communicating with a hearing-impaired patient, the nurse should make sure that the area is well lit with as little background noise as possible. Hearing aids amplify all sounds, making noisy environments confusing and frustrating. Raising the voice level slightly, speaking clearly, and making sure that the patient can see the nurse's face helps to facilitate communication. Adequate lighting enhances the patient's ability to see the speaker's mouth and face and interpret nonverbal communication. Consistent affirmative answers to the nurse's questions may be an indication that the patient is not hearing the information being shared. Care should be taken to verify that patients truly understand the content of verbal interaction. Extra patience may be required by the nurse to demonstrate caring while communicating with hearing-impaired patients.
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