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 friends or family members to interpret for the patient.
B) Sit facing the patient when speaking and ensure there is adequate light.
C) Repeat the entire conversation if it is not clearly understood the first time.
D) Speak louder and more distinctly than normal with exaggerated lip movements.

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.The nurse should be seated facing the patient and ensure that there is enough light for the patient to see the nurse's lips 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.