A nurse is about to assess an older client who has a new hearing impairment. The most effective way to communicate with the client at this time is by:
  1. Standing in front of the client when speaking with him
  2. Exaggerating lip movements
  3. Writing notes
  4. Using gestures
Explanation
Answer: A - Standing in front of the client, a position where the client can clearly see the nurse, is the most effective way of communicating with an older client for the first time. Writing notes and using gestures can be utilized only if the client cannot see clearly or is unable to read lips. The nurse will know about these barriers of communication after the first assessment. Exaggerating lip movements is not necessary.
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