Medical Surgical Multiple Sclerosis MS #3

Question

The nurse is communicating with a client with multiple sclerosis (MS), which has affected the speech. Which communication actions are necessary for the nurse/client relationship? Select all that apply.

Answers

  1. Asking the client to speak up and loudly, especially when tired.
    • Rationale:

      This answer is not correct because asking the client to speak loudly does not make the words easier to hear. It also can affect the person’s self-esteem and dignity. Furthermore, it may exacerbate weakness to muscles.

  2. Encourage the client to speak slowly and not rush sentences.
    • Rationale:

      This answer is correct because actions to facilitate a positive nurse/client relationship with a client with MS is to encourage the client to take their time and speak slowly. This will help the client to not feel rushed and promote dignity.

  3. Encourage the client to speak distinctly.
    • Rationale:

      This answer is correct because actions to facilitate a positive nurse/client relationship with a client with MS is to encourage the client to enunciate words. This will help the client who slurs their words due to MS be easier to understand.

  4. Encourage the client to repeat words that are indistinguishable.
    • Rationale:

      This answer is correct because actions to facilitate a positive nurse/client relationship with a client with MS is to encourage the client that it is ok to repeat words that are indistinguishable. Having a client, attentive attitude will help facilitate a positive rapport with the client.

  5. Encourage the client to keep sentences short.
    • Rationale:

      This answer is correct because actions to facilitate a positive nurse/client relationship with a client with MS is speaking in short sentences. This is a very effective way to communicate and keep your audience engaged.

Overview

To facilitate a positive nurse/client relationship with a client with MS, encourage the client to speak slowly, distinctly, to not rush sentences, and that it is ok to repeat words that are indistinguishable.

Explanation

Learning Outcomes

Multiple sclerosis is an autoimmune related neurologic disease of the spinal cord and brain. The immune system damages the myelin sheath, which interferes with communication between the body and the brain. Communication can be affected since the client can become weaker or incoordination within the muscles used for speaking. These muscles that become weak include muscles controlling the mouth, cheek, lips, and tongue. To facilitate a positive nurse/client relationship with a client with MS, encourage the client to speak slowly, distinctly, and ensure the client that it is ok to repeat words that are indistinguishable.

Test Taking Tip

When recalling details about Multiple Sclerosis (MS), think MS “Myelin Sheath” is damaged causing “Message Slow-down” between the brain and the body.

Video Rationale