Which of the following patients will cause the greatest communication concerns for a nurse?

A) A patient who is alert,has strong self-esteem,and is hungry.
B) A patient who is oriented,pain free,and blind.
C) A patient who is cooperative,depressed,and hard of hearing.
D) A patient who is dyspneic,has a tracheostomy,and is anxious.

Question

Jonathan Schlender · Accepted Answer

Final Answer : D, Explanation :  Facial trauma,laryngeal cancer,or endotracheal intubation often prevents movement of air past vocal cords or mobility of the tongue,which results in inability to articulate words.A person extremely short of breath needs to use oxygen to breathe rather than speak.Persons with high anxiety are sometimes unable to perceive environmental stimuli or hear explanations.People who are alert,have strong self-esteem,and are cooperative and pain free do not cause communication concerns.Hunger,blindness,and difficulty hearing individually can cause communication concerns,but the presence of dyspnea,a tracheostomy,and anxiety can affect communication.

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