Question

A 58-year-old patient with nerve deafness has come to his doctor's office for a routine examination. The patient wears two hearing aids. The advanced practice nurse who is conducting the assessment uses which of the following approaches while conducting the interview with this patient? (Select all that apply) [16]

1. Maintain a neutral facial expression
2. Lean forward when interacting with the patient
3. Acknowledge the patient's answers through head nodding
4. Limit direct eye contact

Answer 1

For a patient with nerve deafness, the nurse should maintain a neutral facial expression, lean forward, and nod in acknowledgment during the interview. Direct eye contact should be used appropriately based on the patient's responses and comfort level.

Step-by-step explanation:

When interviewing a 58-year-old patient with nerve deafness who uses hearing aids, an advanced practice nurse should apply several communication techniques. It's essential to maintain a neutral facial expression as this displays attentiveness and professionalism. Leaning forward indicates engagement and can put the patient at ease, while acknowledging the patient's answers through head nodding assures the patient that the nurse is understanding what is communicated. Direct eye contact is a bit nuanced; limiting it can be beneficial in some cultures or with shy patients, but generally, appropriate direct eye contact is encouraged as it signifies honesty and engagement. It is key for the practitioner to adjust their interaction style based on the patient's comfort and the response to the communication method chosen.