Which types of patients can cause challenging communication situations? (Select all that apply.)
a. A male patient who is cooperative with treatments
b. A female patient who is outgoing and flirty
c. An older adult patient who is demanding
d. An elderly patient who can clearly see small print
e. A teenager frightened by the prospect of impending surgery
f. A child who is developmentally delayed
B, C, E, F
Challenging communication situations include patients who are flirtatious, demanding, frightened, or developmentally delayed. A child who has received little environmental stimulation possibly is behind in language development, thus making communication more challenging. Patients who are cooperative and have good eyesight (see small print) do not cause challenging communication situations.
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The mother of a 2-month-old child tells the nurse, "I've been reading about how vaccines cause autism so I have decided not to give my child any of these vaccines." What is the nurse's best response?
A) "Extensive studies have found no link between the measles–mumps–rubella (MMR) vaccine and autism." B) "Extensive studies are being conducted and so far they have not found a link to autism." C) "Research has found no link between the chickenpox vaccine and autism." D) "Many parents agree that withholding vaccines is best and that is your choice to make."
Approaches for overcoming language barriers include
a. speaking slowly and loudly. b. avoiding the use of gestures or pictures. c. using a culturally sensitive interpreter. d. speaking to the interpreter rather than to the patient.
A client is prescribed a nonsteroidal anti-inflammatory drug (NSAID) for treatment of gout. Which nursing instruction should be provided?
1. "Your initial dose will be low during your acute attack, but we will raise it over the next few weeks." 2. "This drug will help with inflammation, but I will give you a second medication for pain." 3. "If you have stomach pain, please call me for a medication adjustment." 4. "You may find that you cannot sleep while taking this medication."
Risk-taking behaviors are increasing among adolescents. Which of the following is true that has implications for community health nurses?
1. Experimentation with alcohol, smoking, and drugs occurs at younger ages than in the past. 2. The newest statistics report decreasing sexual activity and fewer sex partners. 3. Gang activity has decreased in recent years. 4. Teen pregnancy rates are rising steadily.