The nurse recognizes that a client's hearing deficits impact the development of the nurse-client relationship. Which of the following has the greatest impact on minimizing this obstacle?
1. Speaking slowly, clearly, and in a normal tone
2. Using various forms of nonverbal communication
3. Relying heavily on touch to convey caring and interest
4. Involving family in discussions concerning meeting client's needs
ANS: 2
When a client has limited hearing or visual deficits, it becomes more important for a nurse to use nonverbal communication when establishing nurse-client relationships. Speaking slowly, clearly and in a normal tone may make verbal communication more effective, but it will not have the greatest positive impact of the offered options. Relying heavily on touch is only one form of nonverbal communication that can positively impact the development of the relationship. While involving family in discussions may help in the identification of client needs, it does not neces-sarily have positive impact on developing a healthy nurse-client relationship.
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