Which of the following is not an appropriate strategy for communicating with older adults?
a. Sit so that you are at eye level with the older adult
b. Close the door to shut out background noises
c. Listen carefully and verify older adult's statements
d. Shout loudly
D
Shouting is a poor communication technique because it raises the pitch and the volume of the speaker's voice. Older adults have difficulty hearing higher pitched tones. Responses A, B, and D are good strategies to promote communication.
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A woman requests a pudendal block to manage her labor pain. What statement by the woman indicates a need for further explanation about the pudendal block?
a. "I'm having a contraction. Can I get the pudendal block now?" b. "I'll get the pudendal block right before I deliver." c. "The nurse midwife will insert the needles into my vagina." d. "It takes a few minutes after the medicine is administered to make me feel numb."
A client has a diagnosis of advanced chronic obstructive pulmonary disease (COPD). Which of the following care settings would be MOST appropriate for this client?
a. respite care c. palliative care b. long term care d. home health care
In determining the relationship between injury-producing falls and proposed preventive measures as part of the QI process, a QI team might turn to which of the following for confirmatory evi-dence?
a. NDNQI b. NANDA c. NIOSH d. AHRQ
A paraplegic patient excitedly reports seeing his foot move when he was being turned. This phenomenon is best explained as:
1. a reflexive movement. 2. a return of motor function. 3. an early symptom of autonomic dysreflexia. 4. a result of hypertonicity of the muscle.