A nurse is caring for a patient who signs and lip reads.When communicating,the most appropriate nursing action is to do which of the following?

A) Rely on family members to interpret.
B) Speak louder and more distinctly than normal.
C) Sit facing the patient when speaking.
D) Repeat the entire conversation if it is not understood the first time.

Nurses can use a variety of communication techniques,including reading notes and writing notes,as well as reading lips and signing.When communicating,nurses should speak slowly and articulate clearly.When you are not understood,rephrase rather than repeating the entire conversation.Some patients with hearing impairments are able to speak normally.To more clearly hear what a person communicates,family and friends need to learn to move away from background noise,rephrase rather than repeat sentences,be positive,and have patience.On the other hand,some deaf patients have serious speech alterations.Patients who are deaf use sign language,read lips,write with pad and pencil,or learn to use a computer for communication