A nurse is providing care to a patient who wears bilateral hearing aids. Which nursing interventions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. Speak a bit slower than normal.
2. Speak more loudly than normal.
3. Ensure that verbal and nonverbal communication is congruent.
4. Allow extra time for communication.
5. Use bright lighting in the room.
1,3,4
Rationale 1: Speaking clearly and slowly is beneficial when communicating with those with hearing impairment.
Rationale 2: It is not necessary to speak loudly.
Rationale 3: Use of gestures and body language is important, but incongruence between verbal and nonverbal communication can be very confusing for those with impaired hearing.
Rationale 4: It is important to allow adequate time for communication and responses.
Rationale 5: Adequate lighting is necessary in any patient encounter, but bright lighting is not always necessary. The presence of good lighting is not made more essential because the patient has a hearing impairment.
Global Rationale: Speaking clearly and slowly is beneficial when communicating with those with hearing impairment. Use of gestures and body language is important, but incongruence between verbal and nonverbal communication can be very confusing for those with impaired hearing. It is important to allow adequate time for communication and responses. It is not necessary to speak loudly. Adequate lighting is necessary in any patient encounter, but bright lighting is not always necessary. The presence of good lighting is not made more essential because the patient has a hearing impairment.
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