A nurse assigns an assistive personnel (AP) to care for a client who is hearing impaired and provides instructions to the AP about effective methods for communicating with the client. Which statement by the AP indicates that further instruction is needed?

A. "I should speak slowly and clearly to the client."
B. "I should stand directly in front of the client when I'm talking."
C. "I should make sure that the room is well lit when I'm talking to the client."
D. "I should raise the volume of my voice and stand on the client's affected side when I'm talking to him."

The statement that indicates further instruction is needed is D. "I should raise the volume of my voice and stand on the client's affected side when I'm talking to him."

Explanation:

The statement that indicates further instruction is needed is D, "I should raise the volume of my voice and stand on the client's affected side when I'm talking to him." This statement demonstrates a misunderstanding of effective communication techniques for a hearing-impaired client.

Raising one's voice excessively can distort speech and make it more challenging for the client to understand. Instead, speaking clearly and enunciating words is more helpful. Additionally, standing on the affected side of the client is not recommended because it can obstruct the client's view of the speaker's face, which is crucial for lip-reading and interpreting facial expressions.

The correct strategies for communicating with a hearing-impaired client include speaking slowly and clearly, standing directly in front of them, and ensuring good lighting in the room to facilitate lip-reading. Visual cues like gestures and facial expressions also aid in effective communication. By avoiding shouting and positioning themselves for optimal visual contact, the assistive personnel can significantly improve their interactions with the hearing-impaired client.

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