Care Manager Certification Practice Exam

What symptom might suggest a need for further assessment due to a possible barrier in communication?

1. Nausea.

2. Increased pain after ambulation.

3. Volume of the client's television.

4. A client experiencing drowsiness.

The correct answer is: Volume of the client's television.

The option indicating the volume of the client’s television suggests a potential barrier in communication because it highlights a possible issue with the client's ability to engage in conversations or comprehend information effectively. If a client has to keep the television at a high volume, it may imply that they are struggling with hearing or processing auditory information. This situation warrants further assessment to determine if there are underlying issues such as hearing loss or cognitive impairments affecting the client's capacity to communicate and understand important health information or instructions. Considering the other symptoms, nausea and increased pain after ambulation are indicators of physical health issues that could be related to the client's medical condition but do not necessarily indicate a communication barrier. Drowsiness could suggest a side effect of medication or fatigue, yet it doesn’t directly reflect on the client’s ability to communicate effectively. Therefore, assessing the volume of the television provides a more direct insight into potential communication challenges that could impact care.