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The first step that the nurse should take for starting a communication with a client with impaired hearing is getting client’s attention before speaking Speaking directly to the client rather than their family is crucial, while simply raising one's voice is not effective. The nurse should never shout and should always speak in a normal volume.

For effective communication with a client who has impaired hearing, the most important action is to obtain the client's attention before speaking (option c) Establishing good communication with a client who has impaired hearing involves several key actions, but obtaining the client's attention before speaking is particularly important. This ensures the client is engaged and able to focus on the conversation.

Incorporates appropriate alternative strategies to communicate effectively with health care consumers who have visual, speech, language, or communication difficulties

Uses communication styles and methods that demonstrate caring, respect, active listening, authenticity, and trust. The first step that the nurse would take for starting communication with a client with impaired hearing is getting the client's attention before speaking The nurse would never shout and would always speak in a normal volume. Establishing good communication with a client who has impaired hearing involves several strategies, but one key action is obtaining the client's attention before speaking.

Establishing rapport with clients is of the utmost importance because it facilitates an open and honest dialogue between the client and the nurse To communicate effectively with a client who has impaired hearing, the nurse should face the client and speak slowly This helps the client understand better by allowing them to see facial cues and process the conversation at a comfortable pace Therefore, the correct option is d.

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