The nurse is working in a long-term care facility. Which clues does the nurse note which suggests that the client is not hearing what the nurse said? Select all that apply
A) The client does not want to be social.
B) The client responds inappropriately.
C) The client asks for surrounding sounds be increased.
D) The client nods the head and smiles.
E) The client withdraws from activity.
A, B, D, E
Feedback:
A nurse notices clues that the client is having difficulty hearing. Clues include not wanting to be social because interaction is difficult, responding/answering questions inappropriately, nodding and smiling no matter what the answer is, and withdrawing from activity to name a few. Increasing the surrounding sounds makes it more difficult to hear.
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