The nurse is caring for a client that is hearing impaired. Which of the following approaches will facilitate communication?
A. Speak frequently.
B. Speak loudly.
C. Speak directly into the impaired ear.
D. Speak in a normal tone.
Correct Answer: D. Speak in a normal tone.
Speaking in a normal tone to the client with impaired hearing and not shouting are important. The nurse should talk directly to the client while facing the client and speak clearly. If the client does not seem to understand what is said, the nurse should express it differently. Moving closer to the client and toward the better ear may facilitate communication, but the nurse should avoid talking directly into the impaired ear.
Option A: When speaking with a patient who has a hearing impairment it’s important to face him directly and make sure you have his attention. Identifying hospitalized patients who have a hearing impairment to others (for example, with a bracelet, a bed tag, or a flag on the chart) and posting communication strategies (with the patient’s consent) may ease frustration and minimize miscommunication.
Option B: When speaking with a patient who has a hearing impairment it’s important to speak at a normal volume while clearly enunciating (but without using exaggerated lip movements). Remind patients to listen actively. However, many people with hearing impairment find it tiring to keep paying attention, so provide adequate time. Training in word recognition has also been shown to result in some improvements in older adults with hearing impairment.
Option C: When speaking with a patient who has a hearing impairment it’s important not to cover the mouth with a hand. When a patient has a hearing impairment, a combination of adaptive techniques, environmental modifications, and assistive devices (including hearing aids) is necessary to ensure effective communication.
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