Communications PN2002 Exam 2023-2024
Communication and Aging Challenges - ANSWER Sensory losses, Dementia, Age-related
changes/problems, Loss of friends and family.
- ANSWER
Withdraw - ANSWER Communication problems can lead to _______________
Good Communication - ANSWER Establishes trust, Care & Respect
Honouring Diversity - ANSWER Describing our differences, Social behaviour, Nonverbal, Age,
Gender, Religious, Culture
Ethnocentrism - ANSWER the attitudes that one's group, ethnicity, or nationality is superior
to others
Stereotyping - ANSWER a widely held but fixed and oversimplified image or idea of a
particular type of person or thing
Communicating challenges with the Elderly - ANSWER Physical or cognitive problems,
Sensory deficits, Neurological deficits R/T stroke-paralysis or aphasia and Cognitive
impairment: dementia
Assessing - ANSWER determine communication barriers or problems
Diagnosing - ANSWER determining the nursing diagnosis R/T the cause of the
communication impairment.
Planning - ANSWER plan ways to promote effective communication.
Implementing - ANSWER nursing interventions to the assist client with achieving more
effective communication.
Evaluation - ANSWER listen attentively, observe nonverbal cues, use therapeutic
communication to determine if the client is effectively communicating.
Effects of Hearing Problems - ANSWER S & S vary - hearing loss may not be obvious, A
clients behaviour, attitude may change due to hearing problems of frustration, anger, may
deny that they have a hearing problem.
Signs of hearing problems - ANSWER Speaking too loudly, Leaning forward to hear, Turning
and cupping the unaffected ear toward the speaker, Responding inappropriately, Asking
, forwards to be repeated.
Hearing loss - ANSWER can affect all aspect of a persons health physical, emotional, social,
intellectual spiritual.
Hearing needs for speech - ANSWER Hearing loss may result in slurred speech, Words may
be pronounced wrong, Some have monotone speech or drop word endings, It may be hard to
understand what the person says.
Strategies for Client with Hearing Problems - ANSWER Alert the client of your presence,
Adjusting the light, Reduce background noise, Focus your attention on the client, Speak in a
normal tone, Check communication aid, Adjust your language, Use other communication
methods, Watch for signs of fatigue.
Communicating with the Visually Impaired - ANSWER Effects of Vision Problems, Vision loss
affects the physical, emotional, social intellectual and spiritual health, Client can learn to
move about, complete activities of daily care, and learn new reading methods, Guide dogs
and white cane with a red tip are recognized worldwide.
Blind resources - ANSWER Talking books, Different types of aids, Support to clients and
families
Strategies for Client with Visually Impaired - ANSWER Sense of hearing, touch, smell, the
taste may become developed with loss of vision.
Client may be sensitive to the tone of a person's voice - ANSWER Alert client to your
presence, Walk slightly ahead, allow the client to hold onto your arm, inform of approaching
obstacles, Explain the location of food on a plate by relating to the time on a clock, Keep the
area free of clutter, Inform client if you close doors, Don't move their furniture
Communicating with neurological deficits - ANSWER aphasia - Aphasia
Aphasia - ANSWER is the partial or total loss of speech and language skills caused by brain
injury
causes of aphasia - ANSWER Stroke (CVA), Head injury, Brain infections, Cancer
Three types of aphasia - ANSWER Receptive aphasia, Expressive aphasia, Some people have
both expressive and receptive aphasia
Apraxia - ANSWER The client with apraxia of speech cannot use the speech muscles to
produce understandable space, The client understands speech and knows what to say, The
brain cannot coordinate the speech muscles to make the words; lip, jaw or tongue
movements, caused by damage to motor speech areas in the brain, Difficult to understand,